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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$70K - $95K *

Unlock potential by joining a dynamic team as a Clinical Research Associate, conducting vital monitoring and analysis for innovative clinical trials, collaborating with investigators to ensure complia...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$121K - $197K *

Lead the charge in high-quality care coordination across the healthcare continuum, collaborating with a diverse team to enhance patient experiences and improve population health through innovative pra...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$121K - $197K *

Partner with us to ensure high-quality care coordination across the healthcare continuum. Advocate for patients, collaborate with healthcare teams, and drive improvements in patient care while managin...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $97K *

Transform healthcare delivery by providing expert nursing care and patient coordination in a dynamic telehealth setting. Collaborate with clinical teams to ensure effective treatment and support for p...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Empower healthcare outcomes by managing care for diverse patient populations. Collaborate with a dynamic team, leveraging your clinical expertise to drive efficiency and compliance in care management...

Reposted 4 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Champion evidence-based care, providing leadership and management for nursing teams in delivering high-quality patient care, ensuring operational efficiency and professional development across your un...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$89K - $131K *

Advance cardiac care by executing vital diagnostic procedures. Collaborate with a multidisciplinary team to ensure patient safety and support throughout their imaging journey in an outpatient setting...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Advance quality assurance initiatives by leading testing for ServiceNow applications and platform enhancements. Collaborate with cross-functional teams to ensure high-quality solutions throughout the...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Information Technology

$73K - $92K *

Join a dynamic team as you manage hardware/software configurations for submarine network modernization. Play a key role in maintaining accurate documentation, tracking updates, and supporting system b...

3 weeks ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$73K - $92K *

Transform submarine network modernization by maintaining accurate hardware and software configurations, ensuring compliance with program requirements, and providing detailed documentation for effectiv...

3 weeks ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$103K - $110K *

Optimize hospice clinical operations by leading a dedicated team, ensuring quality care, compliance, and performance enhancement while fostering a collaborative environment for continuous improvement...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$136K - $232K *

Join a team that's at the forefront of document control excellence, leading strategic initiatives while enhancing compliance and governance. Drive system optimization and best practices across a dynam...

2 days ago

  •   11 - 15 years exp.  •   Pharmaceuticals & Biotech

$97K - $104K *

Elevate patient care by ensuring accurate MDS assessments and compliance, while managing Medicare/Medicaid documentation. Collaborate with multidisciplinary teams to optimize care plans and enhance se...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$64K - $99K *

Oversee the management of Medicare/Medicaid case-mix documentation, ensuring timely MDS assessments and accurate reimbursement, while serving as a vital resource for nursing staff education on MDS pro...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $110K *

Lead daily operations of professional fee coders, ensuring efficient charge submissions and staff training. This remote role spans team management and coding expertise, contributing to enhanced health...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $88K *

Bring your expertise to a rewarding role that merges clinical care with relationship building to enhance the lives of seniors while ensuring quality service delivery in homecare and hospice settings...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$59K - $101K *

Shape the future of patient access by leading a dynamic team, enhancing workflows, and ensuring a seamless patient experience through effective management, communication, and quality improvement initi...

2 weeks ago

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

$86K - $129K *

Oversee patient care operations at a home care facility, ensuring compliance with regulations, enhancing agency profitability, and mentoring staff while collaborating closely with management to achiev...

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Lead and oversee hospital and professional coding operations, ensuring accuracy and compliance in coding practices that impact the revenue cycle and patient care. Collaborate across teams to drive imp...

2 weeks ago

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

$70K - $95K *

Support clinical applications and enhance user experience through effective maintenance, troubleshooting, and collaboration, while fostering project success and improving operational efficiency in a d...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$66K - $95K *

The Data Uniformity Specialist II is responsible for ensuring the accuracy and consistency of medical records and the Master Patient Index. This role involves reviewing sensitive health information re...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Lead the charge in coordinating clinical assessments and OASIS reviews, ensuring high-quality care delivery in home health settings. Collaborate with teams to develop effective plans of care and promo...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Manage clinical assessments by ensuring OASIS compliance, educating staff, and leading care development efforts. Collaborate with clinicians to promote quality home care services and enhance patient o...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Unlock potential by developing and implementing educational initiatives for front-line clinical staff, fostering quality improvement, and enhancing patient care through mentorship and evidence-based p...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$92K - $97K *

Empower the delivery of exceptional clinical services by guiding clinicians and collaborating with interdisciplinary teams to provide effective support for individuals with disabilities and their fami...

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.