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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$130K - $216K *

Advance clinical research operations by coordinating protocols, managing audits, and ensuring regulatory compliance across multidisciplinary teams. Leverage your expertise to improve patient schedulin...

2 days ago

  •   8 - 10 years exp.  •   Healthcare

$83K - $114K *

Join our leadership team to enhance nursing operations and ensure high-quality resident care, guiding nursing staff in a collaborative, compliance-focused environment that promotes safety and organiza...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Transform healthcare delivery by providing expert education on genetic testing and driving awareness of diagnostic programs in New York. Collaborate with cross-functional teams while advocating for he...

Yesterday

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$85K - $100K *

Transform healthcare quality by supporting initiatives in a Magnet-recognized children's hospital. Utilize analytical skills to improve patient safety and clinical outcomes while ensuring compliance w...

1 week ago

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

$80K - $95K *

Join a dynamic team to enhance quality and safety in pediatric care. Utilize your analytical skills to support initiatives, monitor compliance, and improve patient outcomes in a leading academic child...

1 week ago

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

$95K - $110K *

Join a dedicated team in providing high-quality resident assessments, ensuring compliance with state regulations while fostering a compassionate, ethical, and respectful environment for all residents...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Optimize patient outcomes by leading nursing operations and performance improvement initiatives. Collaborate with healthcare teams to enhance documentation, care delivery, and strategic goals to achie...

Reposted yesterday

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

$79K - $93K *

Join a team that's committed to excellence in long-term care, providing quality nursing services while ensuring compliance with state and federal regulations. Collaborate with dedicated professionals...

3 weeks ago

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

$75K - $95K *

Drive patient care coordination as a Nurse Case Manager, ensuring quality outcomes and resource utilization while collaborating with diverse healthcare teams. Advocate for patients’ healthcare needs...

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $136K *

Lead the charge in providing compassionate nursing care, implementing physician orders, and managing patient assessments. Collaborate with a dynamic team to foster a healing environment and uphold qua...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $93K *

Transform billing operations by delivering exceptional client service and accurate financial transactions. Collaborate cross-functionally to manage collections, account updates, and payment verificati...

4 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$90K - $120K *

Lead operational excellence initiatives across multiple departments, managing diverse teams to implement strategies that improve processes and outcomes, while collaborating with senior leadership to a...

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$90K - $120K *

Join a team that's shaping operational excellence by directing major departments, managing professional staff, and driving budget strategies to improve productivity and quality outcomes across diverse...

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$114K *

Champion patient care by delivering specialized nursing for kidney disease, ensuring effective dialysis treatment, patient education, and vital monitoring in fast-paced healthcare settings...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Lead the charge in advancing clinical excellence by mentoring Nurse Practitioners and Physician Assistants, coordinating patient-centered care, and promoting collaboration among interdisciplinary heal...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $107K *

Collaborate with healthcare teams to evaluate treatment plans, monitor patient progress, and ensure compliance with established guidelines, while facilitating timely discharge planning and improving p...

US-AnywhereRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$80K - $110K *

Engage with a dedicated team to enhance resident care through the coordination of MDS assessments and care plans, ensuring compliance and quality. Play a vital role in improving patient outcomes withi...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Lead the charge in optimizing drug therapy management, supporting healthcare professionals, and enhancing patient outcomes through expert pharmaceutical consultation, education, and collaboration in a...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$107K - $159K *

Lead the charge in optimizing clinic operations and supporting provider performance across multiple practices. Ensure compliance, enhance patient care standards, and contribute to quality improvement...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$102K - $196K *

Empower healthcare excellence by leading our Occupational Health teams, fostering strong relationships with hospital administration, and driving compliance and process improvement for efficient operat...

2 weeks ago

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

$87K - $102K *

Elevate resident care by leading MDS processes; collaborate with a dynamic team to ensure accuracy and compliance with federal regulations while enhancing quality measures and documentation standards...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$86K - $118K *

Help us lead complex Medicaid projects by managing resources, schedules, and stakeholder communication to achieve strategic objectives while ensuring quality and adherence to project standards...

US-AnywhereRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $126K *

Grow your career as you lead provider data management efforts, overseeing projects, staff, and operations. Collaborate closely with internal departments to ensure accurate provider contracts while enh...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $83K *

Unlock potential by coordinating the RAI process and ensuring accurate MDS completion to enhance resident care quality. Collaborate with an interdisciplinary team while complying with regulatory stand...

2 days ago

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

$75K - $95K *

Champion managed care operations, enhancing collaboration between the hospital and health plans. Ensure staff compliance and training on policies and systems while driving process improvements to opti...

Reposted 2 weeks ago

  •   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.