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.
$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
$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
$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
Director of Clinical Services/Social Services (DCSS)
$130K - $160K *
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DPCS Administrator - Hospice - RN Required
$100K - $120K *
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Reposted 3 weeks ago
$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
Clinical Registered Nurse II-Specialty A-SCH ED-FT/7a-7p
$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
$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...
1 week ago
Sr. Quality Improvement Specialist - RN
$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
Clinical Practice Coordinator (RN)
$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
Clinicians & Clinical Supervisors
$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
Clinicians & Clinical Supervisors
$71K - $92K *
Join a team that's dedicated to providing trauma-informed care while working with diverse populations. Collaborate in comprehensive treatment and support as a Clinician or Clinical Supervisor in a dyn...
1 week ago
Clinicians & Clinical Supervisors
$71K - $92K *
Join our dynamic integrated care teams to provide trauma-informed support and empower diverse populations through clinical excellence, collaboration, and innovative approaches to mental health care...
1 week ago
Clinicians & Clinical Supervisors
$71K - $92K *
Shape the future of integrated care by providing trauma-informed, person-centered clinical support to diverse populations. Collaborate with multidisciplinary teams while ensuring high-quality document...
1 week ago
Clinicians & Clinical Supervisors
$71K - $92K *
Elevate your career by joining our dynamic integrated care teams. Work in a supportive environment, providing trauma-informed care to diverse populations and collaborating with a multidisciplinary tea...
1 week ago
Clinicians & Clinical Supervisors
$71K - $92K *
Shape the future of integrated care by providing compassionate clinical support to diverse populations, fostering collaboration, and contributing to trauma-informed practices in a dynamic, growth-focu...
1 week ago
Clinicians & Clinical Supervisors
$71K - $92K *
Make your mark at a forward-thinking organization dedicated to providing exceptional clinical care and support. Collaborate with a multidisciplinary team, engage with clients, and develop comprehensiv...
1 week ago
Quality Improvement Specialist Senior
$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
Clinical Resource Supervisor - Emergency Services
$80K - $95K *
Shape the future of patient care as a Clinical Resource Supervisor, driving operational excellence, mentoring staff, and enhancing patient experience across all shifts through dynamic leadership and r...
2 weeks ago
Medical Director of Case Management and Utilization Review - FT Days - MHM
$210K - $250K *
Champion optimal patient care by leading Case Management and Utilization Review efforts. Collaborate with stakeholders to enhance resource management, streamline processes, and drive educational initi...
Yesterday
Medical Director of Case Management and Utilization Review - FT Days - MHM
$210K - $250K *
Architect the future of healthcare delivery by leading case management and utilization review to enhance patient care quality and resource management at a large facility, collaborating with medical st...
Yesterday
$86K - $124K *
Champion effective risk management initiatives to enhance patient safety, mitigate liability, and ensure compliance with regulations. Collaborate across departments to analyze risks and implement stra...
4 days ago
$110K - $130K *
Lead the charge in credentialing strategy and oversight, ensuring provider compliance and operational excellence across multi-state healthcare organization, while managing a high-performing team to pr...
1 week ago
Clinical Nurse B-Inpatient~Med/Surg
$85K - $100K *
Lead exceptional patient care in a fast-paced Med/Surg Unit while supporting team collaboration and addressing diverse needs. Embrace ongoing learning, clinical excellence, and operational responsibil...
Reposted 1 week ago
CLINICAL LEAD - NURSE PRACTITIONER
$170K - $175K *
Lead the charge in patient care as a Clinical NP, collaborating with physicians to assess, diagnose, and manage chronic conditions while educating patients, ensuring quality outcomes, and documenting...
2 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.