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 - $95K *

Support exceptional patient care in the Cath Lab by integrating expertise, ensuring the delivery of safe, holistic healthcare tailored to individual needs, while collaborating effectively within a ded...

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Shape the future of healthcare analytics by driving clinical performance with deep insights. As a strategic partner, your expertise in data science and clinical metrics will enhance quality initiative...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$108K - $160K *

Join a team that's dedicated to providing expert, quality patient care while enhancing clinical practice through leadership and collaboration. Contribute your advanced skills to support diverse health...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Analyze and support application systems to enhance healthcare operations. Collaborate with teams to optimize workflows and troubleshoot issues, ensuring effective use of technology in clinical and bus...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$200K - $250K *

Unlock potential by leading clinical decision-making in a remote, dynamic startup. Oversee medical necessity reviews, peer discussions, and policy development, ensuring optimal care while driving util...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$200K - $250K *

Engage as a clinical expert to oversee medical necessity reviews, conduct prior authorizations, and facilitate peer discussions. Drive evidence-based care while collaborating with internal teams, ensu...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Drive excellence in patient care services by overseeing clinical operations, staff coordination, and compliance. Collaborate with teams to enhance care quality, advocate for patients, and ensure effec...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $120K *

Lead the charge in optimizing MDS/RAI processes, ensuring compliance and improving reimbursement strategies while analyzing quality metrics to enhance care quality across interdisciplinary teams...

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$105K *

Drive clinical education by securing affiliations, coordinating curriculum, and mentoring students. Oversee compliance and foster relationships within the medical community to enhance learning experie...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$86K *

Lead the MDS assessment process, ensuring accuracy and compliance while managing care plans and maximizing reimbursement categories through integrated team coordination...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$160K - $200K *

Join a team that's leading the transformation of Health Information Management through strategic oversight of coding and clinical documentation processes, driving improvements to maximize efficiency a...

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$105K *

Drive excellence in patient assessments and care plans, ensuring compliance and financial accuracy within the nursing center. Coordinate MDS procedures to optimize reimbursement and foster quality hea...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $93K *

Advance patient care through efficient MDS assessments and care plan reviews, ensuring compliance and maximizing reimbursement. Collaborate with multidisciplinary teams to enhance resident outcomes an...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $108K *

Contribute to the care excellence by managing MDS assessments and ensuring compliance through thorough coordination with care teams for optimal patient outcomes and reimbursement accuracy...

2 weeks ago

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

$85K - $93K *

Empower your nursing career by leading the MDS process to enhance patient care, ensuring compliance, reimbursement accuracy, and collaboration across services. Drive quality standards and optimize car...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$156K - $202K *

Lead the charge in enhancing health plan performance through strategic data analysis and insight-driven recommendations, collaborating with cross-functional teams to ensure operational excellence and...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$108K - $135K *

Lead coding education and quality initiatives across the physician enterprise, collaborating with various departments to enhance documentation integrity, compliance, and reimbursement processes throug...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$76K - $131K *

Lead the charge in optimizing coding compliance through rigorous auditing, mentorship, and innovative strategies. Collaborate across teams while developing actionable audits to enhance regulatory adhe...

US-AnywhereRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Champion the quality of care in skilled nursing by leading MDS assessments, ensuring compliance with regulations, and coordinating the interdisciplinary team's efforts for optimal patient outcomes and...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Advance accuracy in medical coding by validating ICD-10 and DRG data through detailed record reviews, ensuring compliance and enhancing documentation quality to optimize reimbursement and patient care...

3 weeks ago

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

$110K - $130K *

Engage with our innovative team to enhance AI-driven medical record reviews. As a vital clinical expert, collaborate across functions, ensuring clinical accuracy and driving product improvements to el...

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$84K - $118K *

Join our dedicated team in advancing educational programs for skilled nursing staff, ensuring regulatory compliance and quality care. Lead training initiatives and support staff development through ef...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$102K - $196K *

Engage in transformative leadership by overseeing nursing operations, enhancing patient care quality, and fostering a collaborative environment. Ensure regulatory compliance and develop staff while op...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$102K - $196K *

Transform healthcare delivery by leading nursing initiatives, ensuring quality patient care, and fostering a collaborative environment for staff development while overseeing departmental operations an...

1 week ago

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

$78K - $119K *

Optimize clinical documentation accuracy and quality by leveraging your nursing expertise. Engage with healthcare teams to enhance practices and educate providers on documentation for improved outcome...

US-AnywhereRemote

Reposted 2 weeks ago

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

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.