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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1
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$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

  •   Less than 5 years exp.  •   Healthcare

$120K - $145K *

Oversee the development and management of SAP lifecycle documentation and policies, ensuring compliance and efficiency while supporting decision-making for senior DoN leadership in a dynamic DoD envir...

2 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$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

  •   Less than 5 years exp.  •   Healthcare

$70K - $112K *

Join a dedicated healthcare team to deliver high-quality, patient-centered care through effective decision-making, collaboration, and individualized care plans while promoting safety and continuous im...

Reposted today

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

$82K - $128K *

Transform patient care and research support by providing top-notch nursing in clinical studies. Engage with multidisciplinary teams to ensure optimal patient outcomes while advancing your nursing care...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $125K *

Join a team that ensures quality patient care and safe operations while overseeing clinical staff activities, providing guidance, and managing daily care needs in a fast-paced healthcare environment...

Yesterday

  •   15+ years exp.  •   Healthcare

$83K - $139K *

Join a team that's dedicated to delivering quality patient care while ensuring clinical operations prioritize safety, compliance, and cost-efficiency. As a Charge Nurse, you will oversee staff, manage...

Reposted yesterday

  •   15+ years exp.  •   Healthcare

$79K - $132K *

Oversee daily clinical operations, ensuring excellence in patient care and staff performance. Provide leadership, compliance, and quality assurance in dialysis settings, while fostering a safe environ...

Reposted 1 week ago

  •   15+ years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Join a team that ensures quality patient care while managing daily operations. As a Charge Nurse, you'll oversee staff performance, participate in patient care planning, and ensure compliance with reg...

1 week ago

  •   15+ years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Empower patient care by leading a dedicated nursing team to deliver high-quality dialysis services. Oversee daily operations, ensuring compliance with all regulations while fostering staff development...

1 week ago

  •   15+ years exp.  •   Healthcare

$90K - $150K *

Join a team that's dedicated to ensuring safe, quality patient care through effective clinical operations. Oversee and support nursing staff, manage patient care assignments, and ensure compliance wit...

2 weeks ago

  •   15+ years exp.  •   Healthcare

$75K - $90K *

Lead daily clinical operations as a Charge Nurse, ensuring quality patient care and compliance with regulations. Oversee staff, manage patient assignments, and facilitate effective healthcare outcomes...

3 weeks ago

  •   15+ years exp.  •   Healthcare

$95K - $115K *

Empower nursing excellence by leading clinical staff training and promoting collaborative patient care. Utilize your expertise in the specialty area to enhance nursing standards and patient outcomes t...

2 days ago

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

$80K - $95K *

Lead the charge in ensuring exceptional patient care by managing clinical operations, guiding nursing staff, and overseeing compliance with healthcare regulations while promoting efficient practices i...

4 weeks ago

  •   15+ years exp.  •   Healthcare

$128K - $211K *

Join a team that's optimizing clinical decision support for medication processes. Work collaboratively to enhance EHR configurations for both adult and pediatric patients, while educating pharmacy sta...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $94K *

Shape the future of behavioral health by assessing, coordinating, and advocating for quality care. Collaborate with multidisciplinary teams and manage resources to enhance patient outcomes while ensur...

US-AnywhereRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $107K *

Champion healthcare excellence by conducting utilization reviews, collaborating with providers, and ensuring quality patient care through effective communication and regulatory adherence. Make an impa...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $124K *

Empower your career by overseeing food service operations in a dynamic environment. Lead a team, ensure high food quality, and manage dining services. Bring your expertise to enhance the dining experi...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $124K *

Lead the dining department to ensure high food quality, safety, and service standards. Manage team performance and compliance with regulations while fostering a positive dining experience for resident...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $90K *

Lead in providing exceptional, patient-centered nursing care while coordinating treatment and managing teams in a dynamic environment. Enhance your skills and grow professionally through ongoing educa...

Yesterday

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

$85K - $100K *

Empower your career as a Senior Medical Reviewer, leading medical reviews, utilization management, and providing guidance to team members in a supportive, remote environment focused on high-quality he...

US-AnywhereRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $145K *

Transform patient care by leading nursing excellence and ensuring regulatory compliance. Manage facility operations, oversee staff development, and promote exceptional standards while addressing indiv...

1 week ago

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

$80K - $95K *

Help us drive excellence in clinical research by monitoring studies across various therapeutic areas, enhancing collaboration with project teams and trial sites, and ensuring adherence to the highest...

US-AnywhereRemote

3 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Empower your nursing career by delivering high-quality, patient-centered care in a fast-paced environment while advancing your clinical skills and knowledge through innovation and collaborative practi...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $116K *

Drive compliance and quality in Utilization Management and Case Management audits. Collaborate with stakeholders to identify performance gaps, support remediation efforts, and enhance organizational o...

US-AnywhereRemote

4 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.