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.
Inpatient Medical Coding Auditor
$83K - $89K *
Elevate your career by joining a team dedicated to auditing inpatient records for diagnostic accuracy and compliance. Collaborate with stakeholders while maintaining high productivity and education st...
3 weeks ago
Claims Supervisor – Product Liability & Mass Claims
$85K - $105K *
Inspire operational excellence by leading a claims team managing high-volume product liability claims. Provide technical guidance and foster a culture of accountability while maintaining compliance an...
1 week ago
$71K - $99K *
Drive clinical excellence through effective EHR deployment, user training, and system optimization. Collaborate with healthcare teams to enhance workflows, ensuring seamless integration of technology...
3 days ago
Clinical Pharmacist Specialist
$120K - $140K *
Drive patient care excellence by overseeing safe medication practices, collaborating with healthcare teams, and educating medical staff on pharmaceutical care, ensuring compliance and quality at every...
2 weeks ago
Clinical Nurse Specialist (CNS) - Medical/Surgical/Critical Care - Duke Raleigh Hospital
$90K - $110K *
Advance patient care by serving as an expert collaborator and educator, guiding nursing staff in evidence-based practices within a critical care environment, ensuring excellence in clinical outcomes...
2 weeks ago
Director of Quality Initiatives and Improvement (DQI)
$183K *
Unlock potential by leading quality initiatives that enhance patient safety, foster improvement, and ensure compliance within healthcare settings. Collaborate with diverse teams to drive transparency...
Reposted 3 weeks ago
$87K - $148K *
Lead strategic initiatives to optimize clinical supply expenses and enhance operational efficiency across healthcare facilities, collaborating closely with leadership and clinical teams to drive conti...
Reposted 3 weeks ago
Coordinator-IS Change & Release Deploy
$75K - $95K *
Lead change management initiatives in a dynamic environment. Oversee all aspects of the change lifecycle, coordinating strategies for effective implementation and adherence to standards while managing...
Reposted 2 weeks ago
Clinical Practice Leader In-Centre Hemodialysis
$115K - $141K *
Unlock potential by leading education and excellence in Nephrology care. Drive staff development and ensure quality patient outcomes through strategic program management and clinical expertise in an i...
3 weeks ago
Clinical Practice Leader In-Centre Hemodialysis
$115K - $141K *
Shape the future of patient care by leading our Nephrology Program. Contribute to excellence in In-Centre Hemodialysis through staff education, mentorship, and the implementation of best practices to...
3 weeks ago
Clinical Quality Improvement Nurse Educator
$75K - $95K *
Engage in transforming healthcare quality standards by leading initiatives that enhance nursing education and patient care outcomes. Collaborate with interdisciplinary teams to deliver evidence-based...
Reposted 3 weeks ago
$80K - $100K *
Join a team that values compassionate care while managing patient cases, coordinating interdisciplinary services, and ensuring quality home health support for patients and their families within a stru...
3 weeks ago
Coding Quality Reviewer Team Lead
$75K - $95K *
Lead the charge in enhancing coding quality through strategic reviews, insightful data analysis, and educational initiatives, ensuring the integrity of healthcare documentation and compliance standard...
2 weeks ago
$75K - $95K *
Drive the development and implementation of clinical education programs, collaborating with various staff levels to ensure compliance and promote competency in patient care. Enhance staff skills and k...
Reposted 1 week ago
Clinical Compliance and Operations Auditor
$95K - $110K *
Support clinical and operational integrity by conducting unannounced audits, ensuring compliance with standards, and preparing centers for external reviews, while providing actionable insights to enha...
2 weeks ago
Clinical Compliance and Operations Auditor
$95K - $110K *
Elevate standards at healthcare centers by conducting unannounced audits and evaluations, ensuring operational and clinical integrity while preparing staff for external reviews and compiling data-driv...
2 weeks ago
$74K - $134K *
Join a dynamic healthcare team to deliver vital social work services, aiding patients and families in navigating hospitalization and recovery. Collaborate with professionals, providing guidance, educa...
1 week ago
$90K - $110K *
Shape patient care solutions as an EpicCare Ambulatory Analyst, improving outpatient workflows. Collaborate with stakeholders to optimize implementations and deliver high-quality support in a dynamic...
5 days ago
$67K - $111K *
Empower patients by delivering comprehensive nutritional care, collaborating with multidisciplinary teams, and implementing evidence-based practices to enhance wellness and address health issues effec...
2 days ago
$67K - $111K *
Elevate your career by joining an interdisciplinary healthcare team focused on empowering patients through evidence-based nutrition care, promoting wellness and recovery in dynamic hospital specialtie...
5 days ago
$67K - $111K *
Deliver comprehensive nutrition care by implementing evidence-based practices and collaborating with healthcare teams. Drive positive patient outcomes through effective education and consultation in h...
1 week ago
Clinical Coordinator Community
$94K - $170K *
Unlock potential by collaborating with care teams to manage and optimize medication therapies, ensuring patient safety and effectiveness in outpatient settings while guiding pharmacy trainees through...
4 weeks ago
$91K - $120K *
Contribute to critical healthcare data analysis efforts while collaborating with clinical and provider teams. Leverage your expertise in database design and statistical analysis to inform strategic de...
Yesterday
$91K - $120K *
Transform healthcare analytics by leading data analysis and reporting efforts to enhance quality programs, support clinical operations, and drive effective strategies within the organization through i...
2 days ago
Surgical Pathologists Assistant I
$89K - $162K *
Optimize surgical pathology operations by accurately dissecting and describing human tissue specimens. Serve as a knowledgeable resource to staff, ensuring quality assurance and regulatory compliance...
5 days 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.