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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
Locations
caret down
More
1
caret down

$85K - $100K *

Join a team that's dedicated to enhancing patient care through effective Transitional Care Management. Utilize your expertise to guide patients, coordinate care, and support their wellness journey, ai...

Today

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Champion healthcare excellence by managing patient health records and revenue integrity. Lead a multidisciplinary team to ensure compliance, optimize reimbursement, and resolve issues in documentation...

Today

  •   Less than 5 years exp.  •   Healthcare

$128K - $157K *

Shape nursing quality initiatives by driving performance improvement, regulatory compliance, and evidence-based practices across multidisciplinary teams. Collaborate with nursing leaders to enhance pa...

3 weeks ago

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

$103K - $124K *

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...

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$79K - $130K *

Advance your career by managing complex care needs as a Telephonic Nurse Case Manager. Collaborate with healthcare professionals to create and implement tailored care plans, ensuring optimal health ou...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$79K - $130K *

Manage comprehensive care plans for members with chronic health needs, using your clinical expertise to assess, coordinate, and monitor services. Collaborate with healthcare providers to ensure optima...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$79K - $130K *

Innovate care management by leveraging expertise in assessing, developing, and coordinating complex care plans. Ensure optimal health outcomes through effective telephonic support while collaborating...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Shape the future of patient care by supervising nursing staff, coordinating patient services, and collaborating with multidisciplinary teams while ensuring compliance with healthcare standards and del...

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Join a dedicated team to lead patient care and nursing operations, ensuring compliance and quality standards while collaborating with diverse healthcare professionals in a dynamic correctional environ...

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Tackle the complexities of high-acuity emergency operations by providing strategic leadership. Engage nursing staff and physicians while ensuring compliance, optimizing resources, and fostering a coll...

1 week ago

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

$127K - $165K *

Join our team and lead patient care delivery in a dynamic environment, ensuring compliance with policies and quality standards while mentoring staff and contributing to continuous improvement in the M...

2 days ago

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

$114K - $171K *

Champion staff development by designing and implementing educational programs, fostering competencies in nursing practice and patient care while ensuring compliance with regulatory guidelines and enha...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Grow your career with a dynamic team driving quality dialysis care across multiple facilities. Lead nursing operations, ensure compliance with regulations, mentor staff, and enhance patient care quali...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$77K - $96K *

Drive quality improvement initiatives across clinical operations while ensuring compliance with regulations and performance goals. Collaborate with leadership to standardize practices and enhance pati...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $96K *

Shape the future of healthcare by driving quality improvement and compliance initiatives across clinical practices. Collaborate with diverse teams to enhance care delivery, standardize processes, and...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Unlock your potential by leading clinical reimbursement and compliance across a multi-site skilled nursing portfolio. Collaborate closely with clinical teams to optimize documentation, reimbursement s...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Transform patient care delivery as a clinical leader. Oversee nursing operations, set standards, and lead a motivated team to ensure excellence in surgical and anesthesia care across all service areas...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $124K *

Support shared governance and clinical excellence through mentorship, education, and collaboration. Lead clinical research initiatives and quality improvement projects to achieve optimal patient outco...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $135K *

Join a team that's shaping the future of identity and access management by assessing and enhancing current capabilities, aligning with Zero Trust principles, and developing strategies to optimize comp...

2 days ago

  •   Less than 5 years exp.  •   Information Technology

$78K - $88K *

Inspire your future as a Lead Coding Auditor, overseeing itemized bill review, coding validation, and appeals within healthcare. Drive accuracy in documentation and reimbursement while training audito...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $88K *

Unlock potential by leading comprehensive audits, ensuring accurate billing, and mentoring a team of Coding Auditors. You will evaluate documentation, validate coding, manage appeals, and maintain hig...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $88K *

Drive accuracy in coding audits and appeals by reviewing itemized bills, ensuring compliance with documentation standards. Lead training for new auditors while achieving productivity and quality goals...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $88K *

Join a team that's responsible for ensuring accurate coding and billing through thorough audits and appeals. Drive improvement by mentoring peers and contributing to hearings while maintaining complia...

US-AnywhereRemote

2 weeks ago

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

$62K - $111K *

Lead the charge in enhancing departmental operations by overseeing vital administrative functions, supporting clinical, educational, and research missions, while ensuring compliance and financial inte...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Inspire excellence by leading clinical operations in a nursing department, ensuring compliance with regulations while delivering high-quality, person-centered care to all residents, and fostering a vi...

2 days ago

  •   5 - 7 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.