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 Risk Manager - Consultant
$85K - $110K *
Help us enhance patient safety by providing clinical risk leadership and expertise, managing risk events, analyzing data to improve outcomes, and coordinating interdisciplinary efforts for effective r...
Reposted 2 weeks ago
$69K - $92K *
Drive optimal patient outcomes by reviewing medical appropriateness and guiding care decisions in a collaborative, autonomous hybrid role focused on utilization management and healthcare policy interp...
6 days ago
$69K - $92K *
Join us to leverage your nursing expertise in concurrent review, ensuring optimal patient care while navigating healthcare complexities. This hybrid role emphasizes autonomy and collaboration, poised...
6 days ago
$100K - $115K *
Champion care coordination by assessing and managing member health needs through advocacy, planning, and authorization of services, ensuring quality outcomes across multiple care settings in a support...
3 weeks ago
$69K - $92K *
Elevate healthcare outcomes by leveraging your nursing expertise in a flexible, hybrid role that combines independent work with collaboration, focusing on utilization management and complex clinical d...
6 days ago
HCS Apps Systems Analyst - OpTime / Anesthesia
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Grow your career with a dynamic IT role focused on supporting surgical services through the Epic OpTime and Anesthesia systems. Collaborate with operational teams to develop solutions, optimize workfl...
1 week ago
Director of Nursing - Outpatient Services
$130K *
Champion the delivery of exceptional patient care while leading a dynamic team. Oversee the clinical operations of outpatient services, driving efficiency and collaboration to enhance patient outcomes...
2 weeks ago
$80K - $100K *
Champion patient care by delivering exceptional nursing services while overseeing fellow staff, guiding families, and ensuring compliance with professional standards. Collaborate effectively in a dyna...
2 weeks ago
Clinical Education Specialist II
$70K - $95K *
Support and educate surgeon customers and sales teams on Imaging, Navigation, and Robotics product lines to enhance patient outcomes, conducting training and fostering continued clinical expertise in...
1 week ago
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Lead the charge in delivering innovative technology solutions for Claims to ensure operational excellence. Collaborate with stakeholders to enhance system performance and compliance while steering tea...
3 weeks ago
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Shape the future of patient care by leading nursing operations and ensuring compliance with healthcare regulations while fostering a supportive environment for residents and staff. Drive excellence in...
3 weeks ago
Treatment Director, Complex Medical Needs
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Join a team that's dedicated to improving the lives of medically fragile children by conducting assessments, enhancing care coordination, and providing training and support to foster parents and staff...
1 week ago
Application Analyst III-Business, Epic PB - Business Applications/Information Solutions
$80K - $110K *
Elevate healthcare solutions by leveraging your expertise to analyze and resolve complex technical challenges. Collaborate with teams, drive projects, and enhance operational efficiency while mentorin...
2 weeks ago
Utilization Management Assistant Director - RN
$116K - $264K *
Transform healthcare delivery by leading intensive case and utilization management programs. Supervise a multidisciplinary team to enhance patient care, ensure compliance, and drive performance improv...
1 week ago
Utilization Management Assistant Director - RN
$116K - $264K *
Advance patient care by leading Intensive Case Management and Utilization Management programs. Enhance collaboration among multidisciplinary teams, drive performance improvement initiatives, and ensur...
1 week ago
Registered Nurse RN Certified Specialist
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Champion patient care excellence by applying specialized nursing knowledge. Collaborate with multidisciplinary teams to implement, evaluate, and enhance tailored care plans for diverse patient populat...
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Pioneer transformative healthcare by overseeing nursing operations and delivering quality care in a supportive residential treatment facility for substance use disorders. Collaborate with professional...
Reposted 2 weeks ago
Assistant Director, Nursing (LTC)
$90K - $120K *
Join a dynamic team as you assist in shaping superior nursing services, ensuring regulatory compliance, overseeing staff development, and promoting quality resident care while fostering a culture of e...
2 days ago
MD - Primary Care - Assessment Doctor
$220K *
Manage comprehensive physical and injury evaluations for employees, ensuring adherence to workers' compensation programs in a flexible, no-call, full-time setting that prioritizes patient care and con...
1 week ago
$75K - $95K *
Unlock potential by coordinating patient care across the healthcare continuum, advocating for optimal health outcomes, and collaborating with healthcare teams to facilitate smooth transitions to post...
Yesterday
$75K - $95K *
Take ownership of managing daily operations of a healthcare practice, including strategy, budgeting, and team supervision. Collaborate with leadership to enhance workflows and achieve organizational g...
Yesterday
$80K - $100K *
Join our team to guide patients through the healthcare continuum, ensuring optimal outcomes. You'll assess, communicate, and coordinate care with stakeholders to achieve quality, cost-effective soluti...
Yesterday
$75K - $95K *
Engage innovative research initiatives by supporting Epic applications to enhance clinical operations, streamline workflows, and ensure data integrity in a collaborative hybrid environment focused on...
Reposted 3 weeks ago
MD - Primary Care - Assessment Doctor
$220K *
Take ownership of patient evaluations and care coordination in a stable, full-time role with no on-call duties. Engage in flexible scheduling while impacting employee health through primary care and w...
1 week ago
Manager, Coding Intelligence - Remote
$75K - $160K *
Drive revenue performance and operational excellence across print and digital product lines by leading a high-performing team while ensuring alignment with vendor management and customer service for o...
Today
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.