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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$100K - $129K *

Lead and mentor faculty while shaping an innovative DMS program. Your experience in sonography and education will ensure student success and program compliance. Collaborate on curriculum and operation...

1 week ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$80K - $95K *

Elevate customer satisfaction by leading clinical application training projects post-implementation. Collaborate with healthcare professionals to optimize product usage and ensure effective training d...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$121K - $188K *

Optimize medication-use technology and clinical systems to enhance patient safety, governance leadership, and workflow efficiency, acting as a key liaison between Pharmacy Operations and IT across var...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $107K *

Partner with us to enhance healthcare quality by assessing medical records, performing case evaluations, and collaborating on improvements driven by peer reviews in a dynamic, hybrid work environment...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Join a dynamic team, contributing to the oversight and enhancement of clinical services to ensure high-quality care for patients and families while maintaining regulatory compliance and managing depar...

2 weeks ago

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

$110K - $130K *

Empower palliative and supportive care initiatives by leading clinical program implementation, ensuring compliance with best practices and quality standards while fostering team collaboration and cont...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Lead the charge in creating a transformative palliative care program, driving clinical excellence, and enhancing patient outcomes. Collaborate with Medical Directors and manage operations for a dedica...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Empower patient care through expert consultation and advanced clinical leadership. Collaborate with multidisciplinary teams, drive quality improvement, and mentor nursing staff to implement evidence-b...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $90K *

Champion the auditing process by ensuring accuracy in hospital billing. Collaborate with external auditors, clinical teams, and insurance representatives to minimize unreimbursed patient service reven...

US-AnywhereRemote

1 week ago

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

$90K - $110K *

Drive excellence in patient care by managing operations of an interdisciplinary team. Oversee care delivery and personnel performance, ensuring quality outcomes through collaboration and metric-driven...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Champion operational excellence by leading an interdisciplinary care team, ensuring top-notch patient services and fostering staff development while driving performance metrics and compliance in all a...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Analyze inpatient DRG payer denials and drive impactful appeals by conducting detailed medical record reviews, crafting persuasive appeal letters, and collaborating to ensure compliance with coding gu...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$139K - $229K *

Optimize coding operations by providing strategic leadership and guidance. Foster collaboration across departments to enhance coding accuracy and support revenue cycle initiatives while driving compli...

1 week ago

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

$108K - $155K *

Transform cancer nursing through leadership and research. Collaborate with multi-disciplinary teams, promote best practices, and drive strategic nursing initiatives across the province to enhance pati...

Victoria, BCIn-Person

Reposted 2 days ago

  •   5 - 7 years exp.  •   Healthcare

$78K - $104K *

Lead clinical research efforts, manage patient interactions, and coordinate projects with a dynamic team. Collaborate on study protocols and ensure adherence to guidelines while driving innovative res...

Toronto, ONIn-Person

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a team that's dedicated to empowering healthcare professionals through effective training in EpicCare Clinical Documentation. Shape the future of patient care by guiding end users and super users...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Build relationships with assisted living facilities, ensure satisfaction, and enhance service delivery by managing client success and operational support in a dynamic healthcare environment...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $93K *

Join us to provide exceptional home health and hospice care, conducting assessments and creating tailored care plans while coordinating with a supportive team for positive patient outcomes...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $93K *

Manage comprehensive patient care as an RN Case Manager, coordinating assessments and delivering tailored support. Collaborate with interdisciplinary teams to enhance patient experiences and outcomes...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Explore opportunities as you evaluate drug utilization and ensure efficient medication use, supporting clinical pharmacy programs and coordinating with healthcare professionals for optimal patient car...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Accelerate progress at the forefront of pharmaceutical care by managing medication utilization, enhancing safety and efficacy, and collaborating with clinical teams to support high-quality health outc...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Empower healthcare outcomes by managing pharmaceutical selections, ensuring safe and cost-effective medication use. Collaborate with teams on key clinical programs while working fully virtual with occ...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Tackle complex pharmaceutical utilization challenges by evaluating and managing medication use, ensuring optimal health outcomes while supporting clinical programs and collaborating with healthcare te...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Join a team that's dedicated to ensuring safe and effective medication use. Evaluate pharmaceuticals, manage clinical programs, and collaborate with healthcare professionals to optimize patient care a...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a team that's committed to optimizing pharmaceutical use and improving healthcare outcomes. As a key contributor, you'll evaluate medications, support clinical initiatives, and guide healthcare p...

Reposted today

  •   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.