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 Laboratory Scientist III
$67K - $111K *
Join us in providing expert clinical laboratory services, performing complex tests, training staff, and ensuring quality control. This role balances routine tasks with advanced troubleshooting to meet...
3 days ago
Clinical Laboratory Scientist III
$67K - $111K *
Champion advanced laboratory operations, conducting complex tests and ensuring adherence to regulatory standards. Lead training initiatives, support quality control, and manage testing protocols in a...
2 weeks ago
Epic Analyst, Community Connect Professional Billing, FT, Days, - Remote
$80K - $95K *
Empower innovation by analyzing workflows and implementing Epic solutions. Collaborate with teams to translate department needs into functional requirements while supporting training and system enhanc...
6 days ago
Clinical Care Transition Specialist / Registered Nurse - Fairfax
$88K - $148K *
Lead the charge in optimizing patient transitions to home health care by cultivating referral relationships, educating stakeholders, and ensuring seamless service delivery through effective communicat...
Reposted 1 week ago
Clinical Care Transition Specialist / Registered Nurse - Fairfax
$88K - $148K *
Join a team that's dedicated to enhancing patient care through effective transitions, building strong relationships, and driving sales in home health services, ensuring patients receive top-notch serv...
Reposted 1 week ago
Quality Assurance Specialist - Community Care Programs
$73K - $89K *
Empower quality assurance excellence by conducting visits and assessments, producing reports, and ensuring compliance with regulatory standards to support high-quality services for diverse client need...
1 week ago
Director of Labor and Delivery
$100K - $125K *
Engage your leadership skills as you oversee all functions of the Labor & Delivery unit, ensuring compliance, staffing, budgeting, and quality improvement to provide exceptional patient care and suppo...
Reposted 3 weeks ago
Remote Sr Epic Application Coordinator (Professional Billing)
$90K - $120K *
Lead the charge in optimizing Epic applications to enhance surgical workflows through expert design, project leadership, and cross-department collaboration, ensuring sustainable solutions for clinical...
Reposted 4 weeks ago
Supervisor, Managed Long Term Services and Supports (Clinical)
$102K - $163K *
Join a team that's committed to enhancing member care. Lead a clinical team, ensuring operational efficiency and compliance, while fostering staff development and optimizing processes to meet departme...
Reposted 2 weeks ago
Registered Nurse (RN)- Clinical Educator
$74K - $95K *
Join a team that's dedicated to enhancing clinical staff education. Contribute by assessing learning needs and developing tailored training programs to ensure staff excellence and patient care quality...
1 week ago
$65K - $110K *
Optimize care coordination by leading MDS processes to ensure accurate Medicare/Medicaid assessments and reimbursement. Collaborate with interdisciplinary teams to elevate resident care through compre...
1 week ago
$80K - $95K *
Deliver solutions as an Epic Cadence Analyst, enhancing patient scheduling and operational efficiency. Collaborate closely with teams to optimize workflows and implement best practices, ensuring seaml...
1 week ago
Clinical Pharmacist Specialist Drug Policy Development
$100K - $120K *
Optimize pharmacy education initiatives and formulary management across healthcare systems. Engage in evaluation programs, policy development, and student precepting to enhance medication use and stew...
5 days ago
$110K - $130K *
Champion operational excellence by leading ambulatory clinical services and teams. Drive strategic initiatives that enhance patient care and optimize performance. Collaborate with interdisciplinary pa...
1 week ago
Dialysis Hospital Services Nurse (Acute RN)
$66K - $95K *
Empower patients as you provide specialized dialysis care in a collaborative acute setting. Monitor treatment, educate patients, and work closely with healthcare teams to ensure optimal outcomes and s...
3 days ago
$180K - $185K *
Transform patient care in Diagnostic Treatment Centers by overseeing medical practices, enhancing quality, and collaborating with a dedicated interdisciplinary team to ensure quality support for patie...
1 week ago
Pharmacy Clinical Specialist - Medication Access Programs
$133K - $193K *
Elevate patient care by leading clinical pharmacy strategies to optimize medication access and therapy management across infusion and specialty care settings in a collaborative environment...
3 weeks ago
$89K - $162K *
Transform healthcare delivery by leading care management for Medicare beneficiaries, ensuring access to comprehensive services and coordinating effectively with interdisciplinary teams. Champion quali...
Reposted 2 weeks ago
$82K - $110K *
Engage in effective patient management from identification to implant, ensuring smooth communication and logistics for ReActiv8® implantation while collaborating with field teams to optimize patient e...
3 weeks ago
Senior Process Engineering Specialist
$105K - $140K *
Empower your career by leading transformation initiatives that enhance operational excellence, optimize business processes, and implement automation strategies across functions. Collaborate with teams...
1 week ago
Associate Director, Clinical Program Management
$160K - $230K *
Deliver high-quality clinical studies through effective risk management and cross-functional collaboration, ensuring operational excellence from concept to reporting while achieving planned milestones...
2 weeks ago
Staff Nurse, Same Day Surgery/DOC - Pre-admission Testing
$75K - $95K *
The Staff Nurse in Same Day Surgery/DOC is responsible for the care and safety of assigned patients, focusing on assessment, diagnosis, planning, and intervention for health issues. This role involves...
Reposted 3 weeks ago
Quality Improvement Measure Strategist
$118K - $157K *
Drive quality improvement initiatives by analyzing performance trends, optimizing processes, and collaborating with teams to achieve strategic goals. This role requires critical thinking and expertise...
5 days ago
Quality Improvement Measure Strategist
$118K - $157K *
Pioneer innovative strategies in quality improvement and performance enhancement by collaborating with teams, analyzing trends, and implementing solutions to elevate healthcare standards and achieve s...
5 days ago
$108K - $200K *
Drive innovative population health strategies and manage compliance for NCQA Health Plan accreditation, leading a team to enhance quality outcomes in healthcare through analytics and process improveme...
3 weeks 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.