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 Research Associate II
$91K - $114K *
Unlock the potential of clinical trials by leading monitoring and compliance efforts. Collaborate with diverse teams to ensure patient safety and data integrity in an impactful role that advances inno...
3 weeks ago
Clinical Research Associate II
$91K - $114K *
Drive clinical trial excellence by conducting site evaluations, ensuring compliance, and collaborating with study teams to enhance treatment protocols and patient safety in a fast-paced environment...
3 weeks ago
Clinical Research Associate II
$91K - $114K *
Shape the future of clinical research by collaborating with teams to ensure protocol compliance, data integrity, and patient safety, whilst delivering key insights from clinical trials that advance in...
3 weeks ago
Clinical Research Associate II
$91K - $114K *
Play a key role in advancing clinical trials through site management, ensuring compliance, and facilitating collaboration to deliver innovative treatments while maintaining data integrity and patient...
3 weeks ago
Clinical Research Associate II
$91K - $114K *
Join a team that's pivotal in advancing clinical trials, ensuring protocol compliance, and collaborating with site staff to interpret complex data, enhancing innovative therapies and improving patient...
3 weeks ago
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
$68K - $112K *
Drive compliance excellence by reviewing coding accuracy, guiding education, and ensuring adherence to regulations. Collaborate with teams to analyze data, produce insights, and enhance operational ef...
Reposted 2 days ago
Director Nursing - Center for Minimally Invasive Surgery
$110K - $140K *
Oversee our nursing care delivery, ensuring high-quality services and efficient operations while leading the OR, Preop, and PACU teams. Drive improvements in quality, risk management, and education fo...
6 days ago
Director - Application Development
$145K - $160K *
Lead the charge in engineering excellence by overseeing application software teams, ensuring quality delivery, performance accountability, and regulatory adherence. Foster a collaborative environment...
Yesterday
$70K - $95K *
Develop and optimize healthcare systems by leading multidisciplinary projects, enhancing EPIC functionality, and providing training to staff in a dynamic clinical environment, ensuring quality patient...
4 weeks ago
Care Coordinator, Care Management
$97K *
Advance patient care by leading coordinated clinical pathways within a healthcare team, ensuring optimal treatment and discharge planning while effectively managing resources and fostering collaborati...
Reposted 1 week ago
Senior Coding Data Quality Analyst - Provider Based
$75K - $95K *
Manage coding quality initiatives and compliance for network operations. Collaborate with staff to enhance coding skills and documentation accuracy, ensuring adherence to regulatory standards while op...
2 days ago
Registered Nurse - Case Management
$80K - $100K *
Join a team that's focused on optimizing clinical resource utilization and documentation in healthcare. Engage with staff and physicians to enhance reimbursement processes while ensuring patient needs...
Reposted 2 weeks ago
Clinical Research Coordinator II
$83K - $104K *
Engage with cutting-edge research by coordinating clinical studies, facilitating participant recruitment, managing data analysis, and collaborating with multidisciplinary teams in a dynamic research c...
2 weeks ago
$115K - $127K *
Lead and optimize clinical informatics to enhance patient care, streamline workflows, and ensure compliance with regulatory standards, all while supporting evidence-based practices in a dynamic health...
3 weeks ago
$79K - $123K *
Join a team that's dedicated to optimizing patient care through effective case management. Collaborate with healthcare providers to ensure seamless care delivery and enhanced patient outcomes while ma...
3 weeks ago
$93K *
Unlock your potential by providing tailored Occupational Therapy services, leading OTAs, and collaborating with healthcare teams to enhance patient care and quality of life in a supportive and flexibl...
3 weeks ago
$93K *
Advance your career by providing exceptional Occupational Therapy services. Collaborate with a dedicated team to enhance residents' independence and quality of life through individualized care and tre...
3 weeks ago
Credentialing & Compliance Lead
$70K - $95K *
Join us to own the DMEPOS credentialing lifecycle, ensuring compliance and driving operational excellence while collaborating cross-functionally to improve processes and customer experiences in a regu...
1 week ago
Supervisor - Audit/Investigation
$75K - $95K *
Help us oversee and improve audit/investigation processes for Medicare fraud and compliance, ensuring quality control and collaboration with law enforcement to drive effective outcomes and team develo...
5 days ago
Health Informatics Specialist III
$90K - $120K *
Empower clinical and operational teams by optimizing information systems for pediatric healthcare. Drive initiatives in virtual care, enhance workflows, and mentor peers to elevate care delivery acros...
Yesterday
Associate, Process Improvement
$87K - $141K *
Transform operational efficiencies by collaborating with stakeholders to enhance workflows, implement process optimizations, and support strategic initiatives across multiple projects, driving improve...
1 week ago
Associate, Process Improvement
$87K - $141K *
Drive operational excellence by optimizing workflows and enhancing service delivery. Collaborate with stakeholders to implement solutions that reduce friction for members and providers while ensuring...
1 week ago
Associate, Process Improvement
$96K - $127K *
Transform operational workflows by leading process optimizations, collaborating with stakeholders, and implementing effective solutions to enhance efficiency and member satisfaction across projects...
2 weeks ago
Clinical Reimbursement Coordinator, RN
$85K - $93K *
Join our team to lead MDS assessment processes and ensure high standards of resident care. Collaborate with multidisciplinary teams to support compliance and optimize reimbursement while enhancing pat...
6 days ago
Clinical Reimbursement Coordinator, RN
$85K *
Support the effective delivery of patient care by managing MDS assessments, integrating multi-disciplinary information for compliance, and maximizing reimbursement within a nursing center framework...
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.