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.
$107K - $118K *
Elevate patient care through precise coding of outpatient services, ensuring compliance with industry standards. Collaborate with healthcare professionals to verify data for accuracy, while maintainin...
1 week ago
HIM Inpatient Coding Manager-Day Shift-Remote-Full-time
$75K - $95K *
Lead the coding operations team to ensure timely and compliant coding and billing processes across all hospital departments, while fostering staff development and continuous improvement in clinical do...
3 weeks ago
HIM Inpatient Coding Manager-Day Shift-Remote-Full-time
$75K - $95K *
Oversee the efficient management of inpatient coding operations. Lead a team in ensuring timely coding, compliance with regulations, and optimal reimbursement strategies. Implement staff training and...
3 weeks ago
$78K - $85K *
Lead the charge in transforming school environments through expert consultation and training, enhancing behavioral support systems to boost student success across diverse educational settings...
Yesterday
Assistant Director of Nursing (Full-Time Boston)
$135K - $145K *
Champion a vital role in healthcare oversight within a correctional environment, ensuring compliance, staff management, and optimal patient care while collaborating with diverse teams to enhance healt...
2 days ago
Mkt Manager Revenue Cycle Coding-CDI Opt OPCodSS-CentNWSo
$100K - $120K *
Engage in strategic leadership to enhance revenue cycle efficiency by driving performance in medical coding and CDI teams, ensuring accuracy and compliance while fostering collaboration across departm...
4 days ago
$120K - $130K *
Contribute to exceptional care quality as a clinical leader, overseeing nursing teams and enhancing operational standards. Drive staff development and ensure regulatory compliance while continually el...
3 weeks ago
Mkt Manager Revenue Cycle Coding-CDI Opt OPCodSS-CentNWSo
$100K - $120K *
Collaborate to enhance revenue cycle management through effective coding and CDI leadership. Drive operational excellence, ensure compliance, and optimize performance across teams while building stron...
2 days ago
$93K - $109K *
The Risk Manager is responsible for proactively identifying risks and implementing effective risk controls within the regional hospital and outpatient departments. This role involves evaluating loss p...
Reposted 3 weeks ago
Clinical Utilization Review Nurse Preceptor / RN
$75K - $95K *
Empower the Utilization Review Department by training, mentoring, and leading clinical staff. Drive excellence in utilization review processes, compliance, and performance metrics while promoting inno...
2 weeks ago
$126K - $132K *
Lead the charge in care delivery management, overseeing interdisciplinary teams and enhancing quality of life for older adults while ensuring effective operations and compliance in a dynamic healthcar...
2 days ago
$126K - $132K *
Transform care delivery by overseeing individualized plans and interdisciplinary teams, ensuring quality outcomes for older adults while promoting independence in their communities and driving a cultu...
5 days ago
$126K - $132K *
Elevate care delivery management by leading interdisciplinary teams to enhance participant outcomes and ensure seamless, high-quality service for older adults in their communities...
1 week ago
$126K - $132K *
Champion care delivery by leading interdisciplinary teams to enhance participant outcomes for older adults, ensuring efficient operations and compliance, while fostering a culture of excellence and su...
1 week ago
$120K - $125K *
Champion effective care delivery by leading interdisciplinary teams to enhance quality of life for older adults. Drive operational success through strategic oversight of care plans and performance met...
Reposted 1 week ago
Nursing Director - Emergency Department
$100K - $120K *
Shape healthcare excellence by leading operations in a dynamic hospital setting. Drive quality patient care through strategic programs, financial stewardship, and staff development, enhancing communit...
Reposted yesterday
Health System Specialist - Mid - Change Management
$90K - $110K *
Optimize the change management process for EHR adoption within VHA, utilizing project management tools and VA databases to ensure smooth transition and user understanding in a dynamic healthcare envir...
1 week ago
Patient Safety and Quality Improvement Specialist
$69K - $93K *
Optimize patient safety and quality initiatives across the organization. Collaborate with clinical leaders to improve safety events and quality trends, fostering a culture of excellence in healthcare...
1 week 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...
Reposted 3 weeks ago
CNS - Clinical Nurse Specialist - Adult Critical Care
$85K - $100K *
Transform patient care by leading advanced nursing practices and evidence-based solutions, enhancing collaboration with interdisciplinary teams, and driving system-wide improvements in adult critical...
Reposted 1 week ago
$90K - $120K *
Shape the future of clinical quality management by overseeing compliance, leading improvement initiatives, and ensuring excellence in Ambulatory Surgery Centers. Collaborate with leadership to enhance...
3 weeks ago
$96K - $104K *
Accelerate progress at our nursing team by enhancing educational standards and compliance. Collaborate with leadership to supervise nursing programs, ensuring the delivery of exceptional patient care...
Yesterday
Epic Senior Systems Analyst - ClinDoc/ Stork
$95K - $115K *
Join us in optimizing healthcare IT by supporting Epic applications. Leverage your expertise in system analysis and project management to enhance workflows and drive efficient operations while ensurin...
1 week ago
Complex Clinical Audit Business Solutions Lead
$100K - $130K *
Unlock potential by driving payment integrity through robust auditing solutions. Collaborate across teams to enhance product capabilities and ensure compliance while improving operational efficiency i...
3 weeks ago
Continuing Care Liaison Licensed Clinical Social Worker, Full-time
$70K - $109K *
Elevate patient care by leading the seamless transition from acute settings to home. Collaborate with a multidisciplinary team to enhance outcomes for complex care patients and ensure supportive, coor...
2 days 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.