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 Manager - Clinical Decision Unit - Full Time
$80K - $100K *
Play a key role in overseeing strategic and operational planning, ensuring exceptional patient care, and managing resources effectively while promoting a positive work environment and team collaborati...
Reposted 4 weeks ago
$60K - $107K *
Join a multidisciplinary team to support high-risk patients in navigating healthcare. Foster patient empowerment, coordinate care plans, and ensure compliance while promoting optimal health outcomes i...
2 weeks ago
$75K - $95K *
Empower our team to enhance and optimize the EHR platform through advanced SQL, engineering, and collaboration with stakeholders, ensuring data integrity and system reliability in a healthcare environ...
4 weeks ago
Director, Enterprise Data Architecture
$150K - $180K *
Accelerate enterprise data transformation by leading architecture, governance, and modernization of data platforms. Collaborate cross-functionally to enhance data accessibility, quality, and decision...
Reposted 2 days ago
Director, Enterprise Data Architecture
$150K - $180K *
Pioneer enterprise data transformation by leading architecture initiatives that enhance data quality, accessibility, and analytics. Collaborate with cross-functional teams to drive measurable outcomes...
Reposted 2 days ago
Director, Enterprise Data Architecture
$150K - $180K *
Transform enterprise data architecture by leading modernization efforts and cross-functional collaboration to enhance data quality, governance, and strategic decision-making across the organization, d...
Reposted 2 days ago
Director, Enterprise Data Architecture
$150K - $180K *
Accelerate enterprise data architecture initiatives driving modernization, governance, and quality. Lead cross-functional teams to enhance data capabilities that support strategic business outcomes an...
Reposted 2 days ago
Medicaid Program Integrity Senior Consultant
$85K - $100K *
Drive Medicaid program integrity initiatives as a Senior Consultant. Conduct audits and forensic reviews to identify compliance issues, assess risk, and enhance operational controls, collaborating wit...
4 days ago
Director, Compliance - FFS Coding - Remote
$134K - $230K *
Elevate compliance within Optum's FFS coding through strategic leadership, collaboration with enterprise partners, audit execution, and training to drive excellence and adherence to industry standards...
1 week ago
$75K - $95K *
Join a team that's dedicated to providing comprehensive care management services, ensuring patients receive the support they need. Collaborate with interdisciplinary teams to develop care plans and fa...
2 weeks ago
$90K - $120K *
Bring your expertise to enhance pharmaceutical services, elevating patient care through collaboration and education in clinical pharmacy initiatives. Play a key role as a Clinical Specialist, ensuring...
4 weeks ago
$129K - $183K *
Advance clinical excellence by standardizing workflows, leveraging data, and enhancing patient safety. Drive efficiency, quality, and regulatory readiness across clinical practices while embedding evi...
Reposted yesterday
Director of Quality Improvement
$90K - $120K *
Lead the charge in enhancing patient quality and safety through strategic oversight and development of comprehensive quality improvement programs, ensuring compliance, data integrity, and optimal pati...
3 weeks ago
Physician Trainer - Medical Coding
$75K - $95K *
Grow your career by coaching healthcare professionals in improved documentation and coding practices. Collaborate with teams to audit, train, and implement effective strategies, ensuring compliance wi...
3 weeks ago
Director, Central Processing Services
$104K - $151K *
Lead the charge in delivering high-quality reprocessing services across multiple surgical and procedural sites. Partner closely with clinical teams to drive operational excellence and safety in compli...
1 week ago
$77K - $120K *
Lead the delivery of exceptional patient care as a Registered Nurse, ensuring safety and quality in an inpatient surgical setting. Collaborate with healthcare teams to provide compassionate support an...
Reposted 4 weeks ago
Clinic Nursing Supervisor-Specialty Clinics
$96K - $155K *
Lead the Specialty clinics team as a Clinic Nursing Supervisor, blending clinical care, staff supervision, and administrative functions to enhance patient outcomes and streamline operations while adhe...
3 days ago
Clinical Administrator Intensive Care Coordination
$78K - $118K *
Grow your career with impactful leadership in mental health program administration. Oversee policy development, budget management, and service coordination to enhance care for children and families in...
1 week ago
$85K - $100K *
Partner with us to drive successful customer implementations through effective onboarding, system configuration, training, and collaboration, ensuring timely transitions and optimized usage of our pla...
2 weeks ago
Clinical Development Director, Residential
$100K - $120K *
Lead the charge in delivering high-quality residential services through strategic oversight, clinical excellence, and operational management. You'll helm a multidisciplinary team while ensuring compli...
5 days ago
Registered Nurse (RN) - Case Manager
$87K - $123K *
Shape the future of patient care by coordinating clinical management and enhancing quality standards. Collaborate with healthcare teams to develop care plans, advocate for patient needs, and ensure ef...
2 weeks ago
Clinical Nurse Specialist | Palliative & End of Life
$108K - $155K *
Shape healthcare by leading evidence-based palliative care practices to enhance outcomes across the region. Collaborate with interdisciplinary teams to elevate nursing standards and improve patient ex...
2 weeks ago
$80K - $95K *
Contribute to a transformative Clinical Informatics team by collaborating with Clinical Operations to evaluate data needs, develop innovative solutions, and enhance operational efficiency through adva...
3 days ago
$160K - $185K *
Drive the evolution of intelligent workflow solutions in an AI-native environment, combining architectural expertise with innovative tools to enhance payment workflows, minimize technical debt, and fo...
3 weeks ago
$80K - $95K *
Transform clinical informatics through data analytics, visualization, and solutions to enhance operational efficiency. Collaborate with cross-functional teams to innovate data products supporting clin...
3 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.