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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$90K - $110K *

Unlock potential by leading daily prior authorization and clinical compliance operations, ensuring adherence to regulations and enhancing workflow in partnership with clinical teams and external vendo...

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$80K - $133K *

Lead the optimization and support of Epic Inpatient clinical applications. Collaborate with clinical teams to enhance workflows, facilitate system upgrades, and ensure efficient patient care support a...

US-AnywhereRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $113K *

Join our dynamic team as a supervisor, leading WC claims staff to ensure top quality, productivity, and customer service. Foster team growth and compliance while managing complex claims in a supportiv...

Yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$73K - $113K *

Support a dynamic team in managing Workers' Compensation claims, ensuring compliance and high performance while providing leadership and guidance. Collaborate on recruitment and training to optimize t...

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $134K *

Lead clinical transitions by building rapport with referral sources, educating patients and families, and ensuring timely patient placement in home health care settings for optimal service and treatme...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Join as a Senior Associate driving data governance standards and practices. Collaborate with cross-functional teams to enhance data quality and compliance, operationalizing governance policies to safe...

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Advance data governance excellence by operationalizing policies and standards. Collaborate with cross-functional teams to enhance data quality and compliance, while driving awareness and adoption of b...

2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$120K - $238K *

Manage overall operations of a free-standing ambulatory surgery center, ensuring quality patient care, financial performance, and compliance with regulations. Develop policies, oversee staff, and enha...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $119K *

Play a key role in designing and delivering effective training programs, engaging learners through various mediums. Collaborate with subject matter experts to ensure content meets organizational and r...

1 week ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$57K - $107K *

Innovate within the cardiovascular team, performing diagnostic and therapeutic procedures while ensuring patient safety and compliance with standards. Lead training, quality improvement activities, an...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$126K - $170K *

Lead the charge in delivering patient-centered care as an Advanced Practice Provider, specializing in obesity medicine and ambulatory practices. Collaborate with a multidisciplinary team to drive high...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Transform healthcare quality as a key clinical leader, enhancing risk adjustment strategies and fostering clinician engagement to ensure compliance and optimal documentation across value-based program...

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$210K - $250K *

Engage in strategic leadership and physician education to enhance risk adjustment, clinical documentation integrity, and improve value-based care initiatives across a collaborative healthcare environm...

2 days ago

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

$95K - $115K *

Champion application innovation by leading analysis, design, and implementation of healthcare systems, ensuring optimal performance and user support across a rapidly evolving environment...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$130K - $160K *

Empower patient care through strategic leadership in clinical and social services. Oversee operational excellence, enhance program quality, and elevate service delivery while fostering teamwork and a...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $90K *

Transform patient care by leveraging your nursing expertise in a dynamic team-based environment. Ensure optimal care coordination and discharge planning while fostering collaboration and driving innov...

4 days ago

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

$100K - $120K *

Lead the future of home health by directing operations, ensuring compliance, overseeing personnel, and implementing quality standards to deliver exceptional patient care and achieve strategic goals ac...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $112K *

Elevate patient care by delivering individualized nursing services, collaborating with interdisciplinary teams, and applying expert assessment, planning, and intervention skills to promote health and...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K *

Join our team as you coordinate and enhance the MDS process for skilled nursing residents. Utilize your expertise to ensure compliance, educate staff, and collaborate across departments for accurate R...

2 weeks ago

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

$127K - $156K *

Accelerate progress at the intersection of clinical data and technology. Leverage your clinical expertise to enhance patient safety and streamline workflows while collaborating with diverse stakeholde...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Lead the charge in optimizing clinical quality outcomes by collaborating with multidisciplinary teams and leveraging quality management tools, while providing guidance and expertise to enhance improve...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Drive quality across clinical and non-clinical areas, leading multifaceted projects to achieve measurable improvements in patient care, health equity, and operational efficiency while mentoring teams...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $90K *

Drive data governance excellence by implementing a robust framework across diverse data domains. Collaborate with cross-functional teams to enhance transparency, quality, and compliance, elevating org...

Surrey, BCIn-Person

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $120K *

Transform clinical practice and education by designing impactful programs that enhance staff competencies, improve patient outcomes and foster interdisciplinary collaboration across health care settin...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$71K - $92K *

Join a dynamic team delivering trauma-informed care and support to diverse populations. Engage in individual and group therapy, collaborate with specialists, and create tailored treatment plans to emp...

1 week 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.