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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$72K - $108K *

Drive impactful change by leading projects that optimize workflows and enhance operational efficiency across the division, while mentoring stakeholders and managing resources for success in a fast-pac...

2 days ago

  •   Less than 5 years exp.  •   Business Services

$72K - $108K *

Engage with stakeholders to lead project implementation and resource management. This role optimizes workflows and ensures operational excellence through standardized processes and consultative servic...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $125K *

Lead the charge in executing complex healthcare software implementations, managing multiple projects while ensuring financial performance and client satisfaction. Drive process improvements and mentor...

US-AnywhereIn-Person

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$80K - $110K *

Empower progress by overseeing clinical trials, ensuring adherence to protocols and GCP standards, and driving data integrity through strong site relationships. Lead monitoring activities and provide...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$90K - $120K *

Lead the charge in enhancing patient care and clinical staff performance through effective supervision, training, and adherence to regulatory compliance in substance use treatment settings...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Champion clinical operations by overseeing counselors, managing fiscal plans, and ensuring the delivery of high-quality patient care in a collaborative environment. Drive metrics improvement while mai...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Accelerate progress at our Clinical Decision Unit as a Nurse Manager, leading teams in diabetes education and wound care while driving excellence in patient care, safety, and staff development in a co...

Today

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Lead the charge in delivering exceptional, patient-centered care as you coordinate nursing functions and enhance clinical outcomes. Your expertise in ER practices and teamwork will shape a supportive...

2 weeks ago

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

$100K - $130K *

Join us to lead clinical operations across diverse healthcare facilities, ensuring compliance, quality care, and performance excellence while fostering team engagement and mentorship in a dynamic envi...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$122K - $139K *

Deliver automation excellence in IT Quality Assurance by developing and executing test cases, ensuring optimal performance and scalability across projects, and collaborating with cross-functional team...

5 days ago

  •   Less than 5 years exp.  •   Information Technology

$74K - $96K *

Champion the coordination of resident care, ensuring compliance and excellence in the MDS process. Collaborate with interdisciplinary teams to enhance resident outcomes and oversee effective care plan...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $150K *

Transform healthcare delivery by ensuring nursing excellence and compliance, directing performance improvement initiatives, and fostering collaborative leadership to enhance patient care standards...

3 weeks ago

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

$75K - $95K *

Innovate healthcare delivery by managing daily operations of the Rural Health Transformation team, developing programs, and ensuring compliance while fostering team excellence and quality improvement...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $195K *

Lead the charge in enhancing claim payment accuracy through strategic oversight, advanced AI initiatives, and cross-functional collaboration. Drive a culture of precision and quality to improve member...

US-AnywhereRemote

4 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $130K *

Champion clinical excellence in NICU and Pediatric Units by leading nursing practice, fostering staff development, and enhancing patient education, focusing on regulatory compliance and comprehensive...

1 week ago

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

$75K - $95K *

Unlock potential by overseeing Home Therapies programs, ensuring quality patient care, compliance with regulations, and staff education while coordinating with healthcare teams to enhance patient outc...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Lead the charge in overseeing Home Therapy programs, ensuring quality patient care, regulatory compliance, and team collaboration while promoting innovative practices and enhancing operational efficie...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Empower optimal patient outcomes through expert clinical pharmacy support, collaborating with healthcare teams to enhance drug therapy management and ensuring adherence to regulations within a special...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Champion the delivery of specialized pharmaceutical care, enhancing patient outcomes and satisfaction through expert collaboration, education, and mentorship of healthcare teams while managing essenti...

3 weeks ago

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

$70K - $94K *

Elevate your nursing career by conducting essential in-home assessments to support individuals in need. Manage your own schedule while working autonomously to ensure timely evaluations and connect mem...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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

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.