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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$104K - $123K *

Unlock potential by collaborating with teams to optimize MDS assessments, ensuring compliance with state and federal regulations while providing high-quality care and support to residents in a dynamic...

3 weeks ago

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

$75K - $95K *

Lead and elevate patient care in a fast-paced Emergency Department, collaborating effectively with diverse teams to assess, stabilize, and provide exceptional nursing services for a wide range of crit...

3 weeks ago

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

$80K - $100K *

Transform emergency care by delivering high-quality nursing in a dynamic ED setting. Collaborate with a multidisciplinary team to assess, stabilize, and treat diverse patients, while mastering critica...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $110K *

Tackle complex healthcare needs as a vital part of an integrated team, delivering comprehensive medical and behavioral care to diverse adult patients while ensuring compliance and quality standards ar...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Lead the charge in optimizing coding accuracy and compliance, overseeing coding teams to meet established KPIs. Collaborate across departments to enhance the integrity of inpatient medical records and...

Reposted today

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

$66K - $142K *

Provide clinical education and support to patients and caregivers initiating complex PAH therapies, collaborating with healthcare teams to ensure effective care in a home setting, while traveling to p...

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Lead the clinical research program's strategic growth, ensuring compliance and operational excellence. Champion team development and advocate for research within a prominent cardiology practice, enhan...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $110K *

Shape healthcare outcomes by consulting on clinical solutions, driving client engagement, and leveraging data models to enhance system adoption and quality outcomes across the enterprise, while identi...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $130K *

Champion your career as a technical authority driving Epic Cogito reporting excellence. Lead complex builds, mentor developers, and shape the future of analytics within a collaborative team, ensuring...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Transform healthcare as a Stroke Program Coordinator, managing quality initiatives and multidisciplinary collaborations to elevate patient care. Engage the community by promoting awareness and driving...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $95K *

Bring your expertise to our echocardiography team, performing high-quality diagnostic tests under limited supervision. Collaborate on diverse procedures and contribute to critical patient care with in...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $125K *

Engage your project management expertise to lead high-volume healthcare software implementations. Drive team success and client satisfaction while managing project scope, timelines, and budgets across...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$90K - $130K *

Lead the charge in enhancing archival services by managing project teams, developing methodologies, and fostering client relationships, ensuring exceptional delivery and professional growth in a dynam...

US-AnywhereRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$186K - $268K *

Lead a team that drives nursing excellence, focusing on patient care, education, and employee engagement while enhancing the overall patient and family experience across nursing units...

1 week ago

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

$90K - $130K *

Unlock potential by shaping data strategies and architectures to enhance business outcomes. Collaborate with stakeholders, ensuring data governance and quality while designing optimal data solutions f...

Yesterday

  •   Less than 5 years exp.  •   Information Technology

$80K - $100K *

Join a team that's committed to delivering high-quality nursing care and managing overall nursing operations in a skilled nursing facility. Lead and inspire while ensuring compliance with healthcare s...

1 week ago

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

$186K - $268K *

Transform patient care by leading nursing activities, fostering engagement, and ensuring quality outcomes. Drive a culture of safety and fiscal responsibility while shaping an exceptional experience f...

1 week ago

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

$100K - $130K *

Shape data strategies and architecture to enhance data-driven decision-making. Collaborate with stakeholders, implement data management best practices, and design innovative solutions for efficient da...

Yesterday

  •   Less than 5 years exp.  •   Information Technology

$86K *

Join a team that ensures the legal management of inmate custody and oversight of correctional processes while maintaining security and compliance with federal regulations in a dynamic correctional env...

1 week ago

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

$84K *

Reimagine your career by ensuring legal compliance and inmate processing in a secure environment. Collaborate with various federal and local agencies to enhance public safety and support successful in...

1 week ago

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

$95K *

Make your mark at a correctional institution, ensuring safety and humane treatment for inmates as you oversee legal confinement, manage intake and release processes, and collaborate with law enforceme...

2 weeks ago

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

$85K - $95K *

Explore impactful opportunities to enhance care management and improve outcomes for high-risk populations. Utilize your clinical expertise to lead interdisciplinary teams in providing quality, coordin...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $130K *

Join a dynamic team to empower MDS Coordinators with training, oversight, and support. Collaborate to enhance nursing home services, ensure compliance, and improve clinical outcomes, fostering a cultu...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Oversee the provision of professional nursing care, coordinating clinical activities while ensuring patient safety, quality measures, and effective staffing within a dynamic ICU environment focused on...

Reposted 3 days ago

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

$74K - $98K *

Shape the future of correctional administration as a vital support to the Warden. Oversee staff operations, manage labor relations, and lead sensitive projects while fostering effective communication...

4 days ago

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

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.