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.
Audit & Reimbursement III and Senior
$63K - $125K *
Unlock your potential by driving Medicare reimbursement accuracy through audits, analysis, and mentorship. You’ll work independently on complex issues while gaining valuable experience in a supportive...
Reposted 2 weeks ago
Audit & Reimbursement III and Senior
$63K - $125K *
Join a team that's impacting healthcare finance by analyzing Medicare cost reports and reimbursement processes. Gain valuable experience in auditing while enjoying flexibility and opportunities for pr...
Reposted 2 weeks ago
Audit & Reimbursement III and Senior
$63K - $125K *
Analyze and interpret complex Medicare cost reports while supporting federal contracts. Collaborate with a dynamic team in auditing and reimbursement, contributing to financial accuracy and compliance...
Reposted 2 weeks ago
Audit & Reimbursement III and Senior
$63K - $125K *
Unlock potential by evaluating complex Medicare audits, analyzing data, and recommending process improvements. Collaborate with cross-functional teams to ensure accuracy and compliance, while developi...
Reposted 2 weeks ago
Audit & Reimbursement III and Senior
$63K - $125K *
Join our team to gain advanced experience in auditing and reimbursement for Medicare Part A. Support complex cost report audits and special projects, while enjoying flexibility in a growing healthcare...
Reposted 2 weeks ago
$150K - $190K *
Champion the integrity of clinical data by building and maintaining robust data pipelines and warehouses while ensuring regulatory compliance and stakeholder collaboration for accurate research insigh...
3 weeks ago
$150K - $190K *
Pioneer the integration of clinical data by engineering robust data pipelines to ensure accuracy and compliance. Lead data operations and support cross-functional teams in transforming critical data i...
3 weeks ago
$100K - $120K *
Lead the charge in enhancing patient care through strategic oversight of the care coordination team, fostering a collaborative environment to achieve healthcare goals and optimize outcomes, while ensu...
Yesterday
$89K - $134K *
Empower patients as a Telephonic Nurse Case Manager Lead, managing complex care needs through assessment, planning, coordination, and evaluation of comprehensive care strategies. Enhance health outcom...
Yesterday
$89K - $134K *
Take ownership of complex care management by assessing, coordinating, and evaluating comprehensive care plans for members with chronic needs, ensuring optimal health outcomes through effective resourc...
Yesterday
$89K - $134K *
Empower patients by leading telephonic case management for complex needs, coordinating care plans, and collaborating with healthcare providers to optimize health outcomes while fostering efficient res...
Yesterday
$89K - $134K *
Join a dynamic team as you lead nurse case management for members with complex care needs. Manage assessments, implement care plans, and coordinate resources to optimize health outcomes while supporti...
Yesterday
$89K - $134K *
Elevate care management by assessing, developing, and implementing comprehensive care plans. Coordinate resources for complex health needs, engaging with medical professionals for effective treatment...
Yesterday
$89K - $134K *
Unlock potential by leading care management for members with complex health needs. Assess, develop, and coordinate tailored care plans while collaborating with medical professionals to enhance health...
Yesterday
$89K - $134K *
Drive impactful care management by leading telephonic assessments and developing tailored plans for members with complex health needs. Collaborate with healthcare teams to optimize health outcomes and...
Yesterday
Director, Provider Data Process Owner
$148K - $274K *
Join a team that's redefining business processes by leading large-scale initiatives, driving impactful improvements, and ensuring effective collaboration across functions to achieve strategic objectiv...
1 week ago
Supervisor Patient Financial Services
$81K - $105K *
Lead and enhance Patient Financial Services operations by driving efficient processes, team development, and superior customer service to optimize revenue and ensure compliance within healthcare stand...
Reposted 2 weeks ago
Assistant Director of Patient Care (RN) Coronary Care Unit Full Time Night
$127K - $165K *
Empower patient care by leading a dynamic team as an RN in Critical Care. Drive clinical excellence, enhance safety standards, and foster teamwork for improved patient outcomes while guiding and mento...
3 weeks ago
Assistant Director of Patient Care (RN) Coronary Care Unit Full Time Night
$127K - $165K *
Join a team that's dedicated to delivering exceptional patient care in the Coronary Care Unit. As a key clinical leader, you'll enhance patient experiences, collaborate with healthcare teams, and driv...
3 weeks ago
$91K - $117K *
Lead the Case Management team in optimizing patient care through effective discharge planning and care coordination. Support staff development while ensuring compliance with regulatory standards and e...
1 week ago
Co-Occurring Disorder Counselor 19
$50K - $167K *
Lead the charge in providing comprehensive outpatient treatment for clients with co-occurring disorders. As an independent contractor, you will deliver individual and group counseling, conduct assessm...
Yesterday
$70K - $120K *
Drive effective care coordination services by supervising a dynamic team of care coordinators, overseeing operations, ensuring compliance, and enhancing the health outcomes of vulnerable populations t...
3 days ago
Director, Patient Access Services
$144K - $341K *
Lead enterprise-wide operations to enhance patient access, optimize revenue cycle performance, and elevate patient experience across diverse healthcare settings. Manage multi-site teams and budgets wh...
Reposted 2 weeks ago
Director, Patient Access Services
$144K - $341K *
Lead the charge in transforming patient access operations to enhance care delivery, drive financial performance, and ensure compliance across diverse healthcare settings while managing a multi-site te...
Reposted 2 weeks ago
Clinical Program Director (RN): Cardio-Pulmonary Program
$80K - $95K *
Elevate your career as you lead and enhance the Cardio-Pulmonary Program. This role focuses on clinical leadership, staff development, and quality improvement to ensure exceptional resident care and o...
5 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.