Clinical Documentation Specialist Jobs

A Clinical Documentation Specialist is a healthcare professional who is responsible for maintaining and ensuring the accuracy of medical records. They also work towards making sure that the documentation aligns with the coding guidelines and legal requirements.

Job Description and Duties

Clinical Documentation Specialists work in various healthcare institutions, including hospitals, clinics, and health departments. Their main duty is to review and verify the patients' medical records and make sure they are complete. They also ensure that these records can be easily understood and follow the required standards.

Career Opportunities

With increasing emphasis on data and records in healthcare, Clinical Documentation Specialists are in high demand. There are opportunities to work in diverse healthcare settings, with interesting roles and potential for professional growth and progression.

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$80K - $96K *

Create and execute compelling digital content that resonates across channels, collaborating with stakeholders to tell impactful brand stories while adhering to strategic communication goals and scient...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$56K - $104K *

Join a team that's committed to ensuring high-quality standards in retail insurance. As a Senior Quality Insurance Analyst, you will conduct reviews, identify improvement opportunities, and collaborat...

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$56K - $104K *

Transform quality assurance within retail insurance by conducting reviews and collaborating with stakeholders to enhance compliance and service standards. Drive continuous improvement and foster a cul...

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$56K - $104K *

Elevate quality assurance efforts by conducting thorough reviews, identifying improvement opportunities, and collaborating with stakeholders to uphold high compliance standards within retail insurance...

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$56K - $104K *

Join a team that conducts quality assurance reviews to enhance compliance and performance standards. Collaborate with stakeholders to implement improvements within retail insurance while ensuring adhe...

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$87K - $107K *

Lead innovative content dataset design and management, ensuring compliance and accuracy of healthcare policies while collaborating with cross-functional teams to enhance auditing processes and drive o...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Transform patient care by leading nursing teams to enhance quality, efficiency, and operational flow in ambulatory settings. Drive performance improvements while mentoring staff and collaborating with...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $135K *

Champion excellence by leading the clinical hospice team, ensuring quality in services, hiring talent, and driving adherence to regulations while fostering a collaborative, high-performance culture...

Yesterday

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$120K - $135K *

Accelerate progress at a forward-thinking hospice organization by leading the clinical team to ensure high-quality patient care, compliance with regulations, and effective personnel management while c...

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Optimize compliance by reviewing medical records and coding accurately, ensuring adherence to regulations for risk adjustment across healthcare programs to support effective reimbursement and quality...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Champion CDI education by leading strategic initiatives, managing outreach, and facilitating training programs. Leverage expert knowledge to shape best practices and engage with members, ensuring high...

US-AnywhereRemote

4 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$80K - $100K *

Lead the charge in shaping the future of hospice care by guiding our clinical team, ensuring compliance, and implementing best practices that enhance performance and foster growth. Inspire excellence...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Champion quality care by overseeing MDS assessments, engaging with interdisciplinary teams. Ensure regulatory compliance while enhancing resident outcomes through effective coordination and communicat...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Join a team that drives Epic product design and implementation for Clinical applications. Collaborate with end users to enhance system functionality, lead projects, and ensure quality outcomes in a fa...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Empower patients by overseeing meal services operations. Develop and manage menus, enforce quality standards, ensure compliance, and lead a team to enhance patient satisfaction in a collaborative envi...

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$103K *

Join a dedicated team providing vital community-based mental health care, focusing on recovery for individuals facing serious mental challenges. Engage directly with clients, offering medication manag...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $95K *

Analyze clinical systems to enhance workflows and EMR efficiency. Collaborate with clinical teams and IT personnel, providing training and support while troubleshooting technical issues to ensure opti...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $95K *

Join a team that's dedicated to enhancing clinical workflows and systems efficiency. Take ownership of the EMR, providing training and support to optimize healthcare delivery while troubleshooting com...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Empower nursing excellence through a collaborative, evidence-based approach to enhance patient outcomes and support clinical standards in a specialized healthcare setting, promoting quality care and p...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Empower excellence in patient care as a transformative leader, driving collaboration and respect within teams to enhance outcomes and support growth in healthcare environments...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $97K *

Unlock potential as a Coder by accurately assigning codes, ensuring compliance, and optimizing coding quality to support efficient healthcare operations. Collaborate across teams to maintain best prac...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$126K - $172K *

Join a dedicated team to enhance clinical outcomes and bridge care with technology. This role focuses on optimizing electronic health records and supporting clinical applications, ensuring quality and...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$92K *

Manage and enhance client relationships with nonprofit partners by delivering effective governance, communications, and operational support while ensuring high-quality service across multiple projects...

3 days ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$107K - $142K *

Transform health outcomes by joining a collaborative team dedicated to delivering expert, evidence-based nursing care while promoting safety, education, and innovation across diverse patient populatio...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $101K *

Champion educational excellence by developing and coordinating tailored training programs, ensuring compliance with regulatory standards while enhancing nursing competencies across various clinical se...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Clinical Documentation Specialist?question toggle

    A Clinical Documentation Specialist is a healthcare professional responsible for the accuracy and completeness of medical records. They ensure these records meet coding guidelines and legal requirements.

  • Where can Clinical Documentation Specialists work?question toggle

    Clinical Documentation Specialists work in a variety of healthcare settings such as hospitals, clinics, and health departments.

  • What is the average salary for Clinical Documentation Specialist jobs?question toggle

    The average salary can vary depending on the location and the company. However, on Ladders, you can find Clinical Documentation Specialist jobs that pay over $100000.

  • What qualifications do I need to become a Clinical Documentation Specialist?question toggle

    Typically, a Clinical Documentation Specialist requires a degree in health informatics or a similar field and some prior experience in a healthcare setting. Further, professional certification may enhance job prospects.