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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1
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$93K - $99K *

Advance your career by leading the MDS process and coordinating clinical reimbursements. Engage with residents to develop tailored care plans, ensuring compliance with regulations while driving qualit...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $93K *

Empower patient care by coordinating hospitalization processes, enhancing collaboration among multidisciplinary teams, and ensuring timely interventions. Contribute to the development of standards and...

1 week ago

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

$100K - $120K *

Lead the charge in enhancing resident care by advocating for safety, fostering staff engagement, and ensuring compliance with regulatory standards within a collaborative healthcare environment. Drive...

Sudbury, ONIn-Person

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$103K - $169K *

Drive system-wide risk management initiatives by identifying, investigating, and mitigating clinical and operational risks. Collaborate with clinical leaders to enhance patient safety and ensure compl...

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Lead the charge in optimizing accounts receivable management and denial strategies across the organization. Collaborate with clinical and financial teams to enhance revenue realization while ensuring...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$74K - $92K *

Optimize coding accuracy and compliance as a RCM Coding Supervisor, overseeing vendor performance, conducting audits, and ensuring adherence to regulations. Lead teams to improve quality and efficienc...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$74K - $104K *

Unlock your potential by driving Medicaid project evaluations and support initiatives. Collaborate with teams and agencies to optimize service delivery, ensuring compliance and enhancing outcomes for...

2 days ago

  •   15+ years exp.  •   Healthcare

$100K - $120K *

Lead, manage, and innovate care delivery as the nursing department's head, ensuring high-quality and compassionate services for residents. Foster teamwork and uphold clinical standards while driving i...

1 month ago

  •   5 - 7 years exp.  •   Healthcare

$140K - $160K *

Help us architect and oversee essential credentialing programs and data governance initiatives, ensuring provider data accuracy, compliance, and efficiency within a dynamic health plan environment...

3 days ago

  •   8 - 10 years exp.  •   Healthcare

$80K - $100K *

Unlock potential by bridging clinical practice and IT, optimizing technology use in healthcare. As a key resource, support caregivers in implementing and harnessing clinical information systems for im...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$132K - $147K *

Lead clinical management and care strategies for complex member populations to enhance outcomes and coordinate across providers. Drive comprehensive assessments and develop tailored care plans in comp...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Collaborate with healthcare teams to enhance EPIC Electronic Health Record systems, ensuring efficient workflows, user support, testing, and implementation of upgrades for improved patient care and op...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$97K - $162K *

Drive patient care excellence by collaborating with multidisciplinary teams, engaging in triage, education, and evaluation to ensure optimal health outcomes and service delivery. Transform healthcare...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Optimize reimbursement processes for inpatient rehabilitation services by managing data collection, ensuring compliance, and educating staff on CMS guidelines to enhance quality and efficiency in pati...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Lead the charge in attaining and maintaining top-tier accreditation standards across regions, driving quality improvements and ensuring compliance while managing cross-functional teams and client rela...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Optimize clinical documentation by analyzing billing practices and coding guidelines. Collaborate with specialists to enhance quality and compliance, educate providers, and reduce denials, ultimately...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$62K - $100K *

Serve as a key Community Based Care Coordinator for dual-eligible members, ensuring seamless integration of health and community resources while enhancing quality of care and individual health outcome...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead the charge in case management and utilization review, ensuring safe patient transitions, regulatory compliance, and effective resource use while managing daily operations and improving department...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Transform the revenue cycle data ecosystem by optimizing processes, resolving data issues, and enhancing reporting. Collaborate with stakeholders to ensure data integrity and drive operational efficie...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$66K - $101K *

Deliver essential medical case management for injured workers, fostering collaboration among patients, healthcare providers, and teams to ensure effective recovery and care. This role demands proactiv...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $140K *

Drive advancements in clinical quality for autism services by reviewing and refining ABA treatment plans. Collaborate cross-functionally to enhance outcomes through innovative technology solutions, en...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$84K - $134K *

Engineer effective solutions by analyzing Epic System software and clinical workflows. Collaborate with teams to implement tailored solutions and support users, ensuring quality assurance and successf...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$125K - $162K *

Lead daily operations in a fast-paced healthcare unit, enhancing patient care and team collaboration while driving efficiency and quality outcomes in a supportive environment...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$121K - $225K *

Drive your career with strategies that align enterprise goals across various functions. Collaborate with leadership to enhance compliance and foster effective communication while managing critical rel...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$121K - $225K *

Lead the strategy for coding compliance, collaborating across functions to align business plans, manage key relationships, and deliver impactful executive communications while driving continuous impro...

2 weeks ago

  •   8 - 10 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.