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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$80K - $100K *

Join a team that values excellence in patient care, enhancing clinical skills in a fast-paced GI lab setting. You'll leverage your expertise to coordinate treatment for complex cases while supporting...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Transform ancillary clinical applications through effective leadership and optimization. This role encompasses oversight of Epic systems to ensure they align with clinical workflows, enhance patient s...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $164K *

Empower nursing professionals by leading educational initiatives, improving quality care, and fostering interdisciplinary collaboration to enhance clinical outcomes through evidence-based practices an...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$115K - $168K *

Champion the delivery of exceptional nursing care, manage clinical activities, and lead interdisciplinary teams while ensuring adherence to best practices and standards in a dynamic healthcare environ...

5 days ago

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

$75K - $95K *

Elevate professional practice by developing educational programs that enhance clinical skills and improve patient care quality, ensuring alignment with educational standards and best practices in the...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $130K *

Lead the charge in managing a dynamic team of data engineers to drive data integration projects, enhance platforms, and deliver scalable solutions in ETL processes, while fostering a culture of growth...

Reposted 2 days ago

  •   5 - 7 years exp.  •   Healthcare

$103K *

Empower individuals by leading nursing services and providing clinical oversight in ICF programs. Drive high-quality, person-centered care while fostering a collaborative environment and ensuring regu...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $162K *

Unlock your potential by leading innovative revenue cycle strategies to optimize collections and enhance financial performance across surgical services, collaborating with multidisciplinary teams to d...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $110K *

Join us to architect a pioneering care management model for Medicare beneficiaries. You'll lead clinical care while developing workflows and operational strategies to enhance patient outcomes and expa...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $125K *

Partner with us to deliver high-quality nursing care, coordinate participant treatment plans, and support diverse health needs in a community-focused environment...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$119K - $155K *

Lead the charge in ensuring HIPAA compliance and safeguarding patient privacy. Oversee privacy practices, educate staff, and respond to incidents while fostering a culture of security across the organ...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$111K - $167K *

Join a dedicated team in advancing nursing education through innovative program development and mentorship while ensuring clinical excellence and compliance with industry standards across various prac...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$89K - $162K *

Unlock the potential of patient care by supervising a dynamic Utilization Review Team. Ensure efficient workflow, mentor staff, and collaborate across disciplines to optimize patient outcomes in a hig...

Reposted 4 days ago

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

$75K - $95K *

Lead the operational management of 24/7 health care services, ensuring quality patient care through collaboration and resource optimization while adhering to performance standards set by leading accre...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $141K *

Lead documentation improvement initiatives to enhance clinical accuracy and optimize workflows. Engage providers through education and feedback, ensuring compliance and regulatory adherence while ment...

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$97K *

Join a team that's leading the charge in coding education and audits. Oversee a skilled team, ensure compliance with industry regulations, and foster a culture of excellence while driving improvements...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $95K *

Lead the charge in optimizing risk adjustment programs by managing operations, vendor performance, and compliance. Drive improvements in analytics, reporting, and audit readiness to enhance operationa...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Drive clinical excellence by leading nursing teams, standardizing workflows, and ensuring patient-centered care through collaborative dyad leadership, quality initiatives, and compliance with regulati...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$79K - $105K *

Join as a pivotal nurse advocate, coordinating care through the transplant process, ensuring quality service delivery, and mentoring new staff while navigating complex health systems with empathy and...

US-AnywhereRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$126K - $167K *

Shape clinical education by empowering advance practice providers, coordinating care initiatives, and promoting evidence-based practices while collaborating with healthcare teams to enhance patient ou...

4 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$71K - $90K *

Tackle member transitions from acute care to community settings by coordinating personalized care plans, conducting assessments, and providing clinical education to prevent hospital readmissions and e...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$101K - $106K *

Shape the future of clinical trials by enabling top-notch support and coordination for successful project execution. This role involves interaction with clinical sites, ensuring compliance, and mainta...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$71K - $90K *

Lead the charge in enhancing post-discharge care for members, coordinating with case managers and clinical teams to ensure smooth transitions and successful recovery while minimizing hospital readmiss...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $122K *

Join a team that's dedicated to delivering exceptional nursing care while utilizing advanced skills in a fast-paced acute care environment. Collaborate with healthcare professionals to ensure optimal...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Lead compliance and quality initiatives in home health and hospice settings. Drive QA department efforts, oversee audits/surveys, and ensure adherence to Medicare regulations. Collaborate with leaders...

4 weeks ago

  •   5 - 7 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.