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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$86K - $155K *

Unlock potential by leading clinical documentation audits and ensuring accurate representation of medical records. Drive quality improvements while maintaining stringent accuracy standards in a fully...

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$86K - $155K *

Shape your career by auditing clinical documentation and DRGs to ensure accurate billing and compliance. Collaborate with healthcare teams to drive improvements in documentation practices while workin...

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$86K - $155K *

Engage in clinical documentation audits, leveraging advanced coding expertise to ensure accuracy in inpatient medical records and compliance with billing standards while driving quality improvement in...

1 week ago

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

$86K - $155K *

Join a team that's dedicated to ensuring clinical documentation accuracy! As a Clinical Validation Auditor - RN, you'll audit inpatient medical records, utilizing your expertise in DRG to uphold billi...

1 week ago

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

$86K - $155K *

Shape the future of healthcare by optimizing clinical documentation and auditing inpatient records. Join a dynamic team to ensure compliance and drive process improvements in DRG coding and validation...

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$86K - $155K *

Join a team that's committed to enhancing clinical documentation integrity through thorough auditing of inpatient records. Leverage your expertise in DRG coding and quality assurance to drive accuracy...

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$64K - $115K *

Join a dedicated team to ensure compliance with coding and billing guidelines, provide regulatory support, and enhance revenue integrity across departments through collaboration and education...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$162K - $191K *

Shape the future of healthcare by leading credentialing management activities, ensuring compliance with industry standards, and fostering collaborative partnerships. Drive operational excellence and o...

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$69K - $104K *

Engage in precise inpatient medical coding, ensuring compliance with coding guidelines and regulations while leveraging your experience in DRG assignment and clinical documentation to enhance coding a...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $99K *

Drive clinical excellence as MDS Coordinator, managing resident care, overseeing task assignments, and ensuring compliance in a supportive, fast-paced environment. Utilize your expertise to enhance th...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$63K - $97K *

Lead quality improvement in coding and documentation by conducting audits, educating providers, and ensuring compliance with standards to enhance accuracy, reduce errors, and optimize revenue cycle pe...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Empower clinical excellence by enhancing documentation accuracy to reflect patient care and optimize reimbursement. Collaborate with healthcare professionals to advance patient outcomes through compre...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$67K - $93K *

Champion the development and evaluation of psychiatric programs, overseeing staff education and ensuring quality patient care through leadership and collaboration with clinical teams in complex enviro...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Manage clinical performance and quality coding to enhance documentation accuracy and compliance. Lead training initiatives, collaborate with clinical teams, and drive operational effectiveness in risk...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Shape the future of grants management by analyzing data standards and enhancing federal compliance. Collaborate with key stakeholders to improve implementation strategies and support improved transpar...

2 days ago

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

$95K - $115K *

Advance your career as you conduct complex analyses for federal grant standards, identifying opportunities for improvements. Collaborate with key stakeholders to support strategic initiatives while ef...

2 days ago

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

$77K - $120K *

Transform healthcare data integrity by supervising DRG Clinical Auditors, ensuring accurate coding and compliance with clinical standards. Engage with teams to maintain high-quality audit processes an...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$66K - $100K *

Transform healthcare denials management by analyzing data and creating metrics, tracking trends, and identifying root causes. Collaborate across departments to enhance processes and ensure timely resp...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Tackle regulatory compliance challenges by supporting clinical trial safety data processing and oversight through collaboration with cross-functional teams, ensuring accurate handling of safety inform...

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$75K - $92K *

Empower your career as you manage document workflows and ensure compliance. Collaborate cross-functionally to maintain precision and readiness of records in a fast-paced environment while supporting a...

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Analyze complex medical claims and conduct thorough audits using advanced DRG coding expertise. Operate autonomously to ensure accuracy, identify recovery opportunities, and improve audit processes ac...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $115K *

Lead complex audits of inpatient medical records utilizing advanced DRG methodologies. Leverage coding expertise to identify recoverable claims, ensuring accuracy and compliance across various lines o...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $120K *

Analyze and audit inpatient claims using advanced DRG coding principles. Deliver sophisticated findings to enhance recovery efforts and collaborate with management on process improvements, working ind...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $120K *

Unlock advanced auditing potential by managing complex inpatient medical record reviews and DRG methodologies, leading to impactful claim recoveries and optimum quality standards across various health...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$80K - $95K *

Partner with us to optimize healthcare technology through EHR application design, build, testing, and support. Collaborate with clients to drive solutions and enhance operational efficiency across our...

Reposted yesterday

  •   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.