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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$75K - $117K *

Accelerate the impact of clinical nutrition services by leading a skilled team, developing protocols, and enhancing patient care programs. Partner with healthcare professionals to ensure optimal nutri...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$86K - $129K *

Partner with us to support pathologists by preparing anatomical specimens for testing, ensuring quality and accuracy in processing, and maintaining adherence to best practices in a dynamic environment...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $118K *

Empower patients through comprehensive nursing care as a key team member. Leverage your skills to assess, plan, and coordinate advanced patient care while supporting unit goals and maintaining high sa...

2 weeks ago

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

$77K - $129K *

Transform patient care as a Case Manager, coordinating with teams to enhance outcomes for children and families. Lead planning efforts, manage resource utilization, and ensure quality care delivery fo...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$135K - $140K *

Shape the future of care transitions by leading high-quality, integrated home healthcare. Collaborate with interdisciplinary teams to improve outcomes and reduce readmissions, ensuring participants re...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive data accuracy and compliance in Risk Adjustment processes, collaborating with internal and external partners. Utilize analytical skills to monitor, troubleshoot, and enhance data collection effo...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Drive strategic oversight of Utilization Management initiatives, ensuring compliance, service quality, and cost containment. Lead the UM team to improve care access and service utilization while maint...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$101K - $120K *

Join a team that's driving innovation in clinical education by designing and facilitating impactful training programs. Collaborate with cross-functional leaders to enhance workforce capabilities and s...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$101K - $120K *

Manage the design and delivery of comprehensive learning programs to enhance clinical workforce capabilities, ensuring effective collaboration with leadership and academic partners throughout the enti...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $105K *

Shape the future of clinical education by leading Epic readiness training and support initiatives, ensuring efficient workflows and alignment with organizational goals through effective collaboration...

1 week ago

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

$85K - $110K *

Join our team to support clinical informatics functions that ensure safe and efficient patient care during Federal EHR implementations. Contribute through process evaluation and enhancing clinical dec...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Drive the development and management of care management projects, collaborating with stakeholders to design, implement, and evaluate specialty programs, while ensuring timely execution and project per...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $100K *

Champion patient care as a Clinical Nurse Specialist, enhancing medical-surgical practices through education, collaboration, and evidence-based solutions while leading interdisciplinary initiatives fo...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Oversee clinic operations and nursing services delivery to enhance participant care. Lead interdisciplinary teams, manage staffing, compliance, budget, and quality improvement initiatives in a dynamic...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$250K - $410K *

Shape the future of patient care by overseeing utilization management processes, ensuring compliance with medical necessity standards, and enhancing clinical operations through collaboration and educa...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$250K - $410K *

Join a team that's committed to optimizing patient care through utilization management. This role supports clinical oversight and compliance, collaborating with medical staff to ensure high-quality, c...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Elevate your career by leading comprehensive physician practice operations, ensuring quality care, financial performance, and growth. Drive strategic initiatives and collaborate with leadership to enh...

Reposted 1 week ago

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

$91K - $163K *

Champion healthcare quality by leading improvement initiatives, analyzing data, and collaborating across teams to enhance performance on key quality measures, ensuring equitable health outcomes for ou...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$77K - $96K *

Conduct audits and collaborate with teams to enhance quality assurance processes in configuration-related roles, ensuring compliance and accuracy in healthcare environments. Drive continuous improveme...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $96K *

Champion quality assurance by auditing configuration staff, conducting retrospective and concurrent audits, and collaborating with multiple teams to enhance training, accuracy, and compliance within h...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $98K *

Drive excellence by enhancing clinical skills through tailored education for nursing staff, fostering competency and adherence to care standards across various units. Collaborate to elevate patient sa...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $92K *

Unlock potential by managing comprehensive case plans to facilitate optimal recovery and return to work for injured/disabled individuals through collaboration with healthcare providers and employers...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $90K *

Lead initiatives to enhance student health services while ensuring compliance with regulations. Oversee clinical standards, mentor nursing staff, and support health equity to promote holistic student...

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $97K *

Drive patient care excellence by collaborating with residents, families, and healthcare teams to craft effective care plans that ensure quality outcomes while being mindful of resources and budgets...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $96K *

Join a team that's dedicated to enhancing healthcare service efficiency by overseeing and optimizing government programs. Engage with staff to drive recovery efforts and ensure compliance, while foste...

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.