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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1
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$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...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$70K - $109K *

Join a team that's committed to providing exceptional care transitions for complex patients, ensuring seamless support and innovative advocacy as they move from acute services to home-based care with...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$114K - $157K *

Engage with healthcare teams to drive operational excellence and foster patient care. Lead staffing, policies, and initiatives, ensuring compliance and performance metrics are met. Collaborate across...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $90K *

Unlock potential by designing and maintaining document templates and workflows, using advanced composition tools. Collaborate cross-functionally to troubleshoot and resolve issues, ensuring high-quali...

5 days ago

  •   Less than 5 years exp.  •   Technical Services

$75K - $95K *

Optimize clinical workflows by leading informatics initiatives, supporting EHR integration, and fostering standardization while ensuring clinical applications meet operational needs and enhance patien...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $145K *

Shape the future of healthcare as a Case Manager II, delivering comprehensive support to patients and families. Collaborate with diverse teams to enhance outcomes and connect individuals with critical...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Deliver exemplary patient care by supervising nursing staff and operations. Foster quality improvement and maintain compliance with healthcare regulations while creating a supportive environment that...

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Lead the charge in enhancing patient care outcomes by supervising nursing departments, ensuring compliance with standards, and fostering a positive work environment while guiding multiple hospital tea...

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$81K - $115K *

Advance patient care management by coordinating services, ensuring cost-effectiveness, and acting as a liaison among patients, families, and healthcare teams throughout the care continuum from intake...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $130K *

Join a team that's leading data management for multiple clinical trials. You'll oversee all stages, ensuring compliance and data quality while collaborating cross-functionally for successful project o...

4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $130K *

Lead strategic oversight and optimization of revenue cycle operations to enhance financial performance and patient experience across the organization. Collaborate with cross-functional teams to ensure...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $106K *

Empower patient care by leading resource management, coordinating care transitions, and enhancing clinical outcomes across diverse healthcare settings while advocating for patient needs throughout the...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Shape the future of healthcare by leading clinical operations across multiple facilities, ensuring patient care quality, compliance with standards, and fostering a culture of excellence through team m...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$125K - $219K *

Drive impactful risk management initiatives at the hospital level, ensuring compliance with regulations and enhancing patient safety. Collaborate with diverse teams to identify risks, implement polici...

3 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$90K - $120K *

Lead the charge in providing safe, effective medication therapy for emergency patients while supporting pharmacy operations and collaborating with healthcare teams to enhance patient outcomes and clin...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $149K *

Pioneer efficiency in healthcare claims auditing! Leverage your ICD-10 expertise, conduct thorough evaluations, and drive high-quality recoverable claims while working virtually and enhancing patient...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Deliver exceptional resident care by leading our nursing team and shaping clinical outcomes. Collaborate with leadership to ensure compliance, promote a positive culture, and support staff development...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Partner with us to lead a team of pharmacy liaisons, driving excellence in patient care, operational efficiency, and team development in specialty clinics while ensuring seamless communication and col...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Engage in strategic oversight of operations in Balance Billing, Fee Negotiation, and Contracting within the Provider Relations department to ensure compliance and drive operational efficiency while ef...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Manage medical malpractice claims with oversight, ensuring compliance while training junior specialists and handling complex cases with significant financial implications. Foster communication and sup...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Drive the management of complex medical malpractice claims while overseeing case evaluations and litigation activities. Participate in training, ensure compliance, and maintain effective communication...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$81K - $122K *

Join a team that's dedicated to transforming data engineering through innovative solutions. Collaborate on designing, building, and improving robust data pipelines that drive impactful results in rese...

Toronto, ONIn-Person

2 days ago

  •   Less than 5 years exp.  •   Information Technology

$95K - $118K *

Transform revenue capture processes as a Senior Revenue Integrity Analyst, leading initiatives to enhance compliance, charge accuracy, and operational effectiveness while collaborating with clinical t...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$130K - $145K *

Lead and manage comprehensive Care Management programs, ensuring regulatory compliance and high-quality, patient-centered care while collaborating across multidisciplinary teams to achieve optimal hea...

Yesterday

  •   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.