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 Liaison (CL), Acute Rehabilitation
$110K - $120K *
Advance health care services by coordinating patient admissions and evaluating needs as a Clinical Liaison. Use your clinical expertise and communication skills to guide patients and families through...
Reposted 5 days ago
Associate Dean - Nursing Program Administrator
$106K - $111K *
Transform the Nursing program by leading operations, curriculum design, faculty development, and compliance while fostering student success and innovative teaching practices to achieve program goals a...
Reposted 1 week ago
DIRECTOR- CLINICAL CARE SYSTEMS OPERATIONS
$90K *
Champion clinical operations by overseeing daily functions and staff support in behavioral health services. Drive compliance, foster interdisciplinary collaboration, and enhance client care strategies...
3 weeks ago
Medical Clinical Operations Supervisor
$60K - $107K *
Lead the charge in providing exceptional patient registration services while developing team performance, ensuring compliance, and optimizing departmental workflows in a dynamic healthcare environment...
4 days ago
Nurse Practitioner/Physician Assistant
$90K - $110K *
Grow your career with us by delivering compassionate in-home care for patients with chronic conditions. Join a multidisciplinary team focused on patient-centered health solutions and enhance your clin...
3 weeks ago
$90K - $120K *
Lead the medical department of a substance abuse treatment facility, ensuring compliance with regulations while overseeing staff and services. Collaborate with multidisciplinary teams to improve clien...
Today
Assistant Administrative Operations SCPMG
$210K - $272K *
Execute strategic leadership across diverse healthcare operations while managing resources effectively to enhance service delivery and foster collaboration among staff and physicians. Drive quality im...
4 days ago
$80K - $110K *
Drive efficient contract management that ensures compliance and enhances innovative solutions in clinical research. Collaborate effectively, analyze terms critically, and guide teams to optimize proce...
Reposted 1 week ago
$70K - $95K *
Elevate operational excellence by managing practice functions, driving financial performance, and fostering collaboration among healthcare providers to enhance patient care and improve service deliver...
Reposted 3 weeks ago
Clinical OR Director of Nursing
$90K - $120K *
Contribute to high-quality, patient-centered care by overseeing clinical operations, driving improvements in patient safety, collaborating across departments, and ensuring compliance with standards wh...
5 days ago
Director of Nursing Residency Program
$75K - $95K *
Advance your career with comprehensive training in nursing operations, staff management, and clinical care as you prepare for a future leadership role in nursing. Collaborate with department heads to...
4 days ago
$89K - $127K *
Lead the charge in providing crisis intervention services, supporting individuals in psychiatric distress. Use your mental health expertise to develop treatment plans, build community relationships, a...
3 weeks ago
$81K - $108K *
Engage with interdisciplinary teams to develop and implement comprehensive care plans. Collaborate with members to promote self-management of complex behavioral and medical needs, enhancing their over...
3 weeks ago
Director Health Information Management
$90K - $120K *
Drive organizational success by leveraging your expertise to enhance systems, streamline processes, and foster innovation. Collaborate with cross-functional teams to implement solutions that deliver m...
Today
Associate Director, Clinical/Medical Services
$100K - $120K *
Join a dynamic team dedicated to enhancing client care through effective medical management and collaboration with various support professionals. Lead initiatives that ensure compliance with healthcar...
1 week ago
$80K - $100K *
Champion the health and wellbeing of members at risk for or living with chronic kidney disease through personalized coaching and care planning, fostering strong relationships to support health goals v...
3 weeks ago
Healthcare Consulting Associate - Physician Enterprise Access & Consumer
$100K - $145K *
Transform healthcare consulting by designing tailored solutions for clients. Collaborate with teams to enhance operational efficiency and implement sustainable recommendations, all while leading and m...
Reposted 4 days ago
Region Manager Revenue Cycle CDI-Central
$90K - $120K *
Empower CDI teams to excel in performance and compliance. Develop strategic plans focusing on improving accuracy and integrity of inpatient medical records. Collaborate with providers and leadership t...
3 weeks ago
Clinical Professional Development Educator
$80K - $100K *
Shape the future of nursing education by designing and implementing impactful professional development programs that enhance learner engagement, promote evidence-based practices, and support organizat...
3 weeks ago
$80K - $100K *
Engage with members through remote health coaching to manage chronic kidney disease. Develop individualized care strategies using clinical information, aim for health improvement, and ensure complianc...
3 weeks ago
$89K - $138K *
Elevate patient care by delivering exceptional nursing services in a dynamic surgical environment. Collaborate with a multidisciplinary team to ensure quality outcomes while embracing innovative pract...
3 weeks ago
Director of Staff Development (DSD)
$72K - $114K *
Transform healthcare education by leading our team to develop and deliver impactful in-service training programs that enhance nursing skills and ensure compliance with regulatory standards in a suppor...
3 weeks ago
$93K - $104K *
Join a dedicated team as you manage high-risk members' care in an outpatient setting. Collaborate with physicians and healthcare providers to develop effective care plans, ensuring members receive the...
Today
$93K - $104K *
Manage outpatient case management to optimize member care, ensuring medical, environmental, and psychosocial needs are met while preventing unnecessary admissions and re-admissions, collaborating with...
Today
$120K *
Join us to lead our HR strategy and enhance team performance while fostering a culture of engagement and compliance in a dynamic senior living community, ensuring all HR functions align with organizat...
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.