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.
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.
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.
$80K - $110K *
Drive the implementation and management of comprehensive information security programs to ensure the confidentiality, integrity, and security of health data while adhering to regulatory standards and...
3 weeks ago
$90K - $120K *
Optimize revenue cycle analytics through data-driven insights and strategic recommendations. Collaborate with finance and operational teams to identify variances and drive performance improvement acro...
Reposted 2 weeks ago
$82K *
Elevate patient care by expertly coordinating MDS assessments, ensuring compliance and accuracy in documentation while leading quality improvement initiatives and clinical collaboration across healthc...
2 weeks ago
Chronic Dialysis Registered Nurse
$72K - $93K *
Champion patient care by providing expert dialysis treatment and support. Join our dedicated team in a dynamic clinical setting where your skills will directly impact patient health and wellness, with...
2 days ago
Clinical & Healthcare Risk Specialist II - SMCS & SCP
$104K - $156K *
Elevate healthcare risk management by developing and implementing policies to minimize exposure. Collaborate with cross-functional teams, conduct investigations, and provide actionable insights to enh...
Reposted 3 weeks ago
Informaticist / Clinical Informatics
$90K - $120K *
Collaborate with clinical and IT teams to implement innovative healthcare technologies, ensuring alignment and efficiency in workflows that support care transformation and enhance patient outcomes acr...
3 weeks ago
Informaticist / Clinical Informatics
$90K - $120K *
Lead the charge in optimizing clinical workflows and technology integration, collaborating with multidisciplinary teams to drive healthcare transformation and improve patient care through innovative i...
3 weeks ago
$120K - $180K *
Pioneer the future of infrastructure by leading document control for large-scale projects. Oversee information flow, ensure compliance, and enhance processes, while collaborating across teams to drive...
3 days ago
$120K - $180K *
Join a team that's driving efficiency in complex infrastructure projects by overseeing document control processes. Ensure compliance, support personnel, and enhance collaboration to achieve project go...
3 days ago
Internal Consultant- Revenue Cycle- Remote
$80K - $120K *
Advance your career by leading revenue cycle initiatives, enhancing compliance, and driving process improvements across multiple teams while ensuring data integrity and supporting innovative healthcar...
2 weeks ago
$80K - $100K *
Lead critical risk management efforts to enhance patient safety, ensure compliance, and minimize loss through proactive investigations, data analysis, and staff education while collaborating with heal...
2 weeks ago
Sr. Clinical Informatics Analyst, Nurse (Hybrid)
$85K - $100K *
Engage in optimizing clinical information systems to enhance patient care and workflow efficiency. Collaborate with IT and clinical teams to design solutions that support clinical decision-making and...
1 week ago
CMA Quality Improvement and Billing Supervisor
$80K - $108K *
Champion the future of case management by leading a dedicated team to ensure quality assurance, compliance, and effective staff training in long-term services and supports while navigating regulatory...
3 days ago
Senior Quality Assurance Document Specialist
$143K - $155K *
Unlock quality assurance excellence by leading GxP documentation and training management. Enhance regulatory compliance and system efficiency in a cross-functional hybrid role within the pharmaceutica...
1 week ago
$90K - $110K *
Engage in comprehensive evaluation and treatment of patients, facilitating continuity of care in an outpatient setting. Collaborate with healthcare teams to deliver quality mental health services and...
3 weeks ago
$75K - $95K *
Empower your career by coordinating decentralized clinical trials. Utilize clinical research and project management skills to enhance patient engagement and optimize study deliverables across multiple...
2 weeks ago
$75K - $95K *
Champion efficient care management by leading a dynamic team, enhancing patient outcomes, and ensuring regulatory compliance. Guide effective resource utilization and improve service delivery across i...
Reposted 2 weeks ago
Echocardiographer (RCS, RDCS) - Cardiology
$70K - $95K *
Join us in delivering exceptional echocardiographic services while ensuring high-quality diagnostic studies. Collaborate with a dedicated team to advance cardiac care through innovative imaging techni...
4 weeks ago
Echocardiographer (RCS, RDCS) - Cardiology
$70K - $95K *
Optimize diagnostic imaging processes by performing high-quality echocardiographic tests and participating in various procedures, ensuring excellence in patient care under limited supervision within a...
4 weeks ago
Revenue Integrity Specialist/Manager
$68K - $122K *
Join a team that's dedicated to enhancing revenue integrity through effective charge capture solutions and compliance. Collaborate across departments to safeguard billing accuracy and address revenue...
4 days ago
Senior Denials Prevention Process Improvement Advisor
$69K - $104K *
Join a team that tackles denial prevention through deep analysis and process improvement. Leverage analytics tools to identify trends, drive best practices, and establish strong client relationships t...
3 weeks ago
(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time
$85K - $100K *
Innovate with us by leveraging clinical expertise to validate DRG code assignments. Collaborate with multidisciplinary teams to ensure coding compliance, optimize documentation, and uphold federal sta...
Reposted 2 days ago
$120K - $130K *
Advance provider credentialing processes while ensuring compliance with NCQA, CMS, and state regulations. Lead a team to support rapid onboarding and maintain high standards in our managed care enviro...
Reposted 2 weeks ago
$85K - $100K *
Shape clinical informatics within perioperative workflows, enhancing patient care via electronic health records. Collaborate across teams to optimize systems, ensuring efficiency and safety in clinica...
1 week ago
Clinical Pharmacy Specialist I - Palliative Care
$120K - $238K *
Lead the charge in delivering specialized patient care through advanced pharmacy services, collaborating with interdisciplinary teams to ensure optimal drug therapy management, mentoring residents, an...
3 weeks ago
What is a Clinical Documentation Specialist?
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?
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?
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?
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.