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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$90K - $120K *

Empower healthcare excellence by directing case management and utilization activities. Oversee quality improvement initiatives, compliance with regulations, and resource management while fostering a c...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$82K - $123K *

Elevate patient care as a Dialysis Registered Nurse, providing essential nursing services, medication administration, and dialysis procedures while educating patients on managing chronic kidney diseas...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$60K - $129K *

Join a team that's transforming healthcare by telephonically managing cases to enhance patient wellness, implementing personalized care strategies, and advocating for optimal outcomes while ensuring e...

US-AnywhereRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$95K - $100K *

Unlock potential by conducting comprehensive assessments and care coordination for members, ensuring timely evaluations and effective communication within care teams to enhance member health outcomes...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$95K - $100K *

Engage in meaningful care management by conducting in-home assessments and providing support to members, ensuring timely completion of regulatory evaluations and health risk assessments. Collaborate w...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$83K - $110K *

Contribute to healthcare excellence by applying coding expertise to emergency department cases. Utilize ICD-10-CM, CPT/HCPCS guidelines, and coding software to ensure precise coding and compliance wit...

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Optimize patient care by managing complex medical cases to enhance outcomes and reduce costs through effective coordination of healthcare services, ensuring adherence to established protocols and regu...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Optimize healthcare data management by overseeing patient records, ensuring compliance with regulations, and enhancing revenue integrity for maximum reimbursement and accuracy in billing across multid...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Manage medical denials efficiently by analyzing clinical records, filing compliant appeals, and collaborating with healthcare staff to maintain billing accuracy and compliance with third-party payor c...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Transform accreditation and regulatory compliance efforts across multiple facilities, ensuring operational excellence and adherence to standards set by regulatory bodies. Lead initiatives to embed a c...

Today

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Optimize rehabilitation services by leading a dedicated team to enhance resident care and oversee clinical operations, ensuring compliance, quality, and effective program implementation across all fac...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $110K *

Manage the rehabilitation department's operations, ensuring high-quality service delivery and supervision of staff, while implementing new programs to enhance patient care and meet regulatory standard...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $103K *

Drive excellence in our Hematology section by supervising diverse testing disciplines, ensuring compliance and fostering team development in a dynamic clinical trial environment. Enhance operational e...

4 days ago

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

$110K - $130K *

Transform emergency care delivery by leading operations, ensuring quality patient outcomes, and driving staff development in a vital community health setting...

3 weeks ago

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

$75K - $95K *

Champion quality care by leading a dedicated team in delivering exceptional nursing services while overseeing operations in a pediatric clinical environment, fostering collaboration between staff and...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $110K *

Engage nursing staff by advancing clinical competence through education and support. Collaborate with leadership to address educational needs, implement strategic plans, and enhance patient care quali...

Today

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Shape the future of nursing education by leading initiatives that enhance clinical competency, support professional development, and improve patient care quality across various nursing teams and depar...

Today

  •   Less than 5 years exp.  •   Healthcare

$90K - $130K *

Champion care quality improvements across BC Corrections, guiding healthcare standards and audits while collaborating with key stakeholders to enhance patient safety and outcomes in correctional facil...

Vancouver, BCIn-Person

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$81K - $114K *

Drive quality care as a Clinic RN Supervisor, leading a team to enhance patient safety, engagement, and clinic operations, while fostering a collaborative environment that champions excellence in nurs...

Reposted 3 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$76K - $106K *

Elevate quality healthcare delivery by providing expert consultation, leadership, and policy development to ensure compliance with clinical standards and best practices in care home settings...

Edmonton, ABIn-Person

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$114K - $189K *

Engage with healthcare teams and patients as a Cardiopulmonary Nurse Specialist, delivering education and support for managing complex cardiopulmonary conditions. This hybrid role ensures coordinated...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$157K - $181K *

Join a dynamic team to lead and manage patient care delivery systems, optimize operations, and ensure compliance with healthcare standards. Collaborate with multidisciplinary teams to enhance patient...

Reposted 2 weeks ago

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

$75K - $95K *

Engage in critical projects and support functions while delivering high-quality EHR solutions. Collaborate with teams to implement, maintain, and improve system applications, ensuring operational effi...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $135K *

Empower healthcare excellence by overseeing departmental operations, ensuring compliance, and mentoring staff. Collaborate with leadership to enhance patient care quality. Drive continuous improvement...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $90K *

Take ownership of patient care excellence as a Clinical Director, leading a dedicated team of RNs, Aides, and Social Workers. Collaborate with interdisciplinary staff to enhance patient services while...

3 days 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.