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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$60K - $99K *

Bring your expertise to streamline credentialing and privileging processes for medical professionals, ensuring compliance with regulations and high-quality patient care in a collaborative healthcare e...

1 week ago

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

$84K - $118K *

Discover an opportunity to enhance clinical documentation integrity through education and collaboration. Partner with leadership to implement training programs and improve quality metrics in a dynamic...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$84K - $118K *

Shape exemplary clinical documentation integrity education programs, partnering with leadership to enhance practices across departments. Drive quality improvement and compliance through comprehensive...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Unlock potential by leading the enterprise Clinical Documentation Integrity strategy, ensuring consistency and accuracy across all clinical documentation to enhance patient care outcomes and regulator...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$66K - $123K *

Join a dynamic healthcare team to enhance clinical documentation, ensuring accurate communication among caregivers. Collaborate on compliance, educate peers, and drive quality improvement through effe...

Today

  •   Less than 5 years exp.  •   Healthcare

$66K - $123K *

Champion the accuracy of clinical documentation by educating healthcare teams, resolving discrepancies, and ensuring compliance. Collaborate to enhance patient care quality through effective communica...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Unlock potential by leading clinical documentation reviews and enhancing healthcare quality. Collaborate with teams to ensure accurate representation of patient care and support optimal reimbursement...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Drive critical improvements in clinical documentation integrity and work collaboratively with clinical teams to ensure accuracy in medical reporting and reimbursement, enhancing the quality of patient...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $100K *

Transform clinical documentation processes while collaborating with healthcare teams to enhance patient care quality and ensure accurate reimbursement through thorough review and advocacy efforts...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$72K - $135K *

Transform clinical documentation standards to ensure compliance and enhance quality. Lead initiatives to educate and collaborate with healthcare teams, driving continuous improvement in documentation...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $105K *

Take ownership of coding and abstracting inpatient and outpatient medical records. Ensure accuracy in applying ICD-10, CPT, and HCPCS codes while collaborating with medical staff to optimize billing a...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$72K - $135K *

Lead clinical documentation initiatives to enhance quality and compliance. Utilize your expertise to assess coding accuracy, educate staff, and collaborate with healthcare providers. Analyze data tren...

US-AnywhereIn-Person

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Transform clinical documentation practices by leading a team of specialists, enhancing education and compliance, and driving improvements that ensure accurate patient records and outcomes across multi...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$140K - $155K *

Shape the future of long-term care by ensuring accurate MDS assessments, compliance, and reimbursement processes across multiple facilities. Join a dynamic team dedicated to enhancing patient outcomes...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $132K *

Help us enhance clinical documentation quality through education, collaboration, and audits, impacting patient care outcomes. This role involves training, compliance reviews, and teamwork across depar...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Advance clinical documentation practices by managing workflows, optimizing billing processes, and leading a dedicated team to enhance revenue cycle efficiency and ensure compliance with regulations fo...

4 weeks ago

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

$75K - $95K *

Play a key role in clinical reviews by assessing medical necessity of healthcare services, collaborating with interdisciplinary teams, and ensuring compliance with quality standards through detailed d...

US-AnywhereRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $95K *

Lead the charge in managing clinical data activities across trials, ensuring data integrity, quality, and timely resolution of queries while collaborating with sites. Be part of a dynamic team making...

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$95K *

Lead inpatient auditing efforts focusing on clinical chart validation and coding accuracy, using advanced ICD-10 knowledge to independently analyze claims, ensure compliance, and enhance auditing proc...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$101K *

Join our team to oversee the interdisciplinary assessment and care planning process in a Skilled Nursing Facility. Engage deeply with residents through compassionate care and collaboration, ensuring c...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K *

Explore a dynamic role auditing outpatient and specialty claims, ensuring coding accuracy and compliance while applying clinical expertise. Contribute to process improvement and collaborate effectivel...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Unlock potential by enhancing clinical documentation quality through comprehensive reviews. Collaborate with healthcare professionals to ensure optimal reimbursement and patient care while gaining val...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Champion clinical documentation integrity by conducting comprehensive second-level reviews, mentoring teams, and ensuring accuracy in medical records. Collaborate strategically across departments to e...

3 weeks ago

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

$95K *

Unlock potential in outpatient and specialty audits by leveraging clinical and coding expertise. Conduct thorough claim audits, ensuring accuracy, compliance, and identifying improvement opportunities...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $95K *

Make your mark at a pivotal role driving cancer data management and analysis, ensuring compliance with accreditation standards. Collaborate effectively with multidisciplinary teams to support cancer p...

3 weeks 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.