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.
Clinical Application Analyst III - Ambulatory - Digital Technology Services
$80K - $95K *
Join a team that enhances outpatient care through technology! In this role, you will optimize Epic Ambulatory applications and workflows, partnering with clinical staff and leaders to improve patient...
2 days ago
DRG Quality Advisor Nurse- Remote
$90K - $110K *
Join a collaborative team to assess and enhance quality assurance in DRG auditing and clinical review processes. Utilize your expertise to validate clinical documentation and coding, ensuring complian...
1 week ago
DRG Quality Advisor Nurse- Remote
$90K - $110K *
Join a team that empowers healthcare quality through expert audits, clinical review, and coding validation. Leverage your nursing and coding expertise to ensure accurate documentation and compliance w...
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Registered Nurse - Health Educator - Certified Diabetes Educator
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Join a team that's dedicated to enhancing health education for service members. This role allows you to impact lives through diabetes management and wellness initiatives while collaborating in a suppo...
Reposted 3 days ago
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Lead the efficient operation of a high-performing clinic, developing staff, analyzing care processes, and implementing improvements to ensure quality care delivery and compliance with health standards...
3 weeks ago
$85K - $100K *
Join us to shape the future of elder care through comprehensive health management. As a key player, you will coordinate services and support for participants, ensuring quality care delivery in various...
Reposted 1 week ago
Nursing Professional Dev Specialist / Clinical Placement Coordinator
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Help us enhance nursing performance and professional growth through innovative education programs, onboarding, and competency management while strategically collaborating with interdisciplinary teams...
3 days ago
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Transform patient care by leading a dynamic nursing team, ensuring optimal operations and staffing on night shifts while fostering a collaborative, accountable environment that enhances clinical outco...
Reposted 2 days ago
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Join a dynamic healthcare team to lead, support, and enhance patient care. You'll oversee daily operations, manage staff schedules, and ensure regulatory compliance while fostering an empowering and c...
1 week ago
SIP-Certified Workers' Compensation Adjuster (Remote)
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Champion the resolution of California Workers' Compensation claims with expertise in investigation and compliance. Lead multiple client programs and navigate complex regulations to ensure high-quality...
1 week ago
Clinical Director II - Peri-Operative Services*
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Join a team that's shaping innovative peri-operative services by driving effective management and operational excellence. This leadership role promotes best practices and ensures compliance, fostering...
Today
$75K - $95K *
Join a team that's dedicated to performing complex clinical tests to diagnose and treat diseases, ensuring accurate specimen analysis, timely reporting, quality control, and compliance with safety sta...
3 weeks ago
System Director of Clinical Operating Program
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Shape the future of healthcare by leading the Clinical Operating Program, driving initiatives that enhance patient care and operational excellence across our health system. Collaborate with diverse te...
3 weeks ago
$85K - $141K *
Help us manage complex clinical research programs by coordinating stakeholders, overseeing studies, and ensuring adherence to regulatory requirements, all while delivering project success through stra...
2 weeks ago
Intermediate Clinical Informaticist
$82K - $153K *
Support clinical informatics by optimizing EHR workflows, facilitating team collaboration, addressing clinician needs, and enhancing patient care standards through data-driven solutions and ongoing ed...
5 days ago
Intermediate Clinical Informaticist
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Transform clinical informatics by optimizing systems for better clinician support and patient safety. Collaborate across teams to enhance documentation quality and workflow efficiency in diverse healt...
5 days ago
Intermediate Clinical Informaticist
$82K - $153K *
Optimize clinical workflows and drive informatics solutions in healthcare settings, collaborating with clinicians and IT to enhance system adoption, patient safety, and documentation quality across va...
5 days ago
Intermediate Clinical Informaticist
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Empower clinicians by providing expert clinical informatics support and optimizing workflows. Collaborate across teams to enhance system adoption, improve documentation quality, and enhance the clinic...
5 days ago
RN MDS Supervisor, Skilled Nursing
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Join a team that's dedicated to enhancing resident care through the management and completion of MDS assessments, overseeing nursing staff, and collaborating with care teams to improve quality measure...
2 days ago
Director of Medical Collections
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Contribute to optimizing billing processes and workflows, lead a team in enhancing front-end RCM operations, and ensure compliance and efficiency in collaboration with multiple departments to drive im...
Reposted 6 days ago
LMSW/LMGW Inpatient Case Manager
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1 week ago
Process Improvement Specialist, Quality / Performance Improvement, Full Time, Day
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Lead initiatives to enhance organizational efficiency through data-driven analysis and process improvement methodologies while collaborating with teams to implement sustainable solutions across variou...
3 weeks ago
$145K - $162K *
Join a team that's dedicated to patient advocacy and excellence in outpatient care. As a vital member of our Magnet Nursing team, you'll deliver high-quality nursing services while collaborating with...
Reposted 1 week ago
Clinical Informatics Consultant
$85K - $100K *
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1 week ago
Director Utilization Management MedStar Family Choice
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Lead the strategic direction of centralized utilization management to enhance service delivery, ensure compliance, and improve clinical outcomes. Collaborate across teams to optimize processes, drive...
Reposted 3 weeks 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.