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.
$70K - $95K *
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$75K - $95K *
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$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...
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$89K - $131K *
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$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...
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$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
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$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
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$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
$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
Clinical Reimbursement Coordinator, RN
$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
Clinical Reimbursement Coordinator, RN
$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
Supervisor, Professional Coding & Charge Capture
$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...
2 weeks ago
Clinical Care Transition Coordinator
$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
Supervisor Patient Access Services (Franklin Square Medical Center, 4:00pm-12:30am)
$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
$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
Medical Coding Manager - HB + PB - Full Time - Hybrid | Nashua, NH
$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
Application Analyst II, LIS/Beaker - Clinical Application/Information Solutions
$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...
5 days ago
$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
Clinical Assessment Manager Oasis Specialist - Home Health - Full Time - Remote
$75K - $95K *
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1 week ago
Clinical Assessment Manager Oasis Specialist - Home Health - Full Time - Remote
$75K - $95K *
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1 week ago
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$75K - $95K *
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3 weeks ago
$92K - $97K *
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1 week 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.