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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$95K - $160K *

Lead the charge in enhancing enterprise data governance and metadata management. Oversee the development of advanced data catalog systems, enforce standards, and drive collaboration to optimize data q...

3 days ago

  •   Less than 5 years exp.  •   Information Technology

$90K - $110K *

Drive operational excellence by managing multiple departments and guiding teams. Lead strategic initiatives, optimize processes, and collaborate with leadership to enhance productivity and outcomes ac...

2 weeks ago

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

$92K - $110K *

Champion operational excellence by leading major departmental initiatives, managing dedicated teams, and driving strategic improvements to enhance efficiency and outcomes across diverse healthcare set...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $125K *

Empower compliance excellence by serving as an expert on privacy laws and regulations. Collaborate with business partners to reduce risk and navigate complex regulatory landscapes while enhancing stra...

2 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$100K - $125K *

Solve complex compliance challenges by serving as a subject matter expert and partnering with internal teams to ensure adherence to regulations. Drive strategic initiatives while managing risk and fac...

2 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$100K - $125K *

Shape compliance strategies by providing expert guidance on privacy regulations and risk mitigation. Collaborate with business partners to ensure adherence to regulatory requirements while promoting e...

2 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$85K - $100K *

Empower patient care by collaborating with an interdisciplinary team to ensure high-quality, compassionate support in busy emergency environments, while maintaining safety and cleanliness under clinic...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Shape patient outcomes by working with a dedicated interdisciplinary team to provide compassionate care in a dynamic Emergency Department environment, ensuring safety and support for patients during c...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Elevate clinical education by developing impactful learning programs for staff, fostering professional growth through innovative teaching methods and research integration, ensuring competencies are me...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Transform enterprise projects through leadership and analysis, ensuring strategic goals are met. Collaborate with cross-functional teams, optimize processes, and deliver impactful recommendations to d...

3 days ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$66K - $99K *

Play a key role in coding and abstracting inpatient medical records, ensuring adherence to guidelines while performing quality analysis and documentation validation to support accurate coding and bill...

US-AnywhereRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$66K - $99K *

Transform medical coding processes by accurately coding and abstracting inpatient records, while ensuring adherence to guidelines and maintaining high quality standards in coding productivity and docu...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$108K - $135K *

Oversee the Inpatient/Outpatient Coding team, ensuring accurate, timely coding to meet healthcare documentation and billing requirements while adhering to coding guidelines and regulations...

2 weeks ago

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

$80K - $95K *

Drive clinical excellence by leading quality initiatives, operational consistency, and regulatory compliance across health centers. Collaborate with diverse teams to enhance patient care and support e...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$72K - $90K *

Partner with us to ensure accurate and timely resolution of commercial claims through thorough investigation, analysis, and communication, while maintaining compliance with regulatory standards and su...

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $90K *

Contribute to the effective resolution of commercial insurance claims by investigating, analyzing, and documenting claims. Provide exceptional customer service and ensure compliance with industry regu...

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $90K *

Join a team that's dedicated to investigating and resolving low complexity commercial claims. You will support stakeholders by ensuring timely communication, accurate documentation, and compliance wit...

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $90K *

Join a team that excels in resolving commercial claims through thorough investigation and customer-focused service. Elevate your career while ensuring compliance and accuracy in claims handling and do...

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$90K - $110K *

Join a dynamic healthcare environment as a leader in nursing services, driving exceptional patient care and fostering a collaborative team culture. Elevate your career in a supportive setting that val...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Champion clinical excellence by managing and overseeing specialized programs to ensure seamless patient care transitions, operational efficiency, and regulatory compliance while fostering teamwork and...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Transform patient care in a fast-paced environment by delivering expert nursing services for diverse emergencies, while working collaboratively with a multidisciplinary team to ensure optimal outcomes...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Unlock potential by managing diverse emergency cases in a fast-paced setting. Utilize your nursing expertise, collaborate with a multidisciplinary team, and deliver high-quality patient care while ens...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Join a team that's dedicated to providing high-quality emergency care in a fast-paced, diverse environment. Utilize your nursing expertise to stabilize and treat patients while collaborating with a mu...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Advance patient outcomes by delivering expert care in a dynamic emergency department environment, managing diverse cases from stabilization to treatment, while collaborating with multidisciplinary tea...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Engage in dynamic patient care in a fast-paced emergency department, utilizing critical thinking and collaboration to assess and stabilize a culturally diverse patient population while ensuring except...

1 week ago

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

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.