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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$150K - $200K *

Drive quality healthcare in a correctional environment by managing chronic care for inmates, ensuring compliance and improving patient outcomes through direct care, leadership, and collaboration with...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $200K *

Unlock potential by leading chronic care for jail inmates, providing comprehensive medical oversight, managing complex health needs, ensuring compliance, and enhancing service quality through collabor...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $131K *

Elevate your career by managing clinic operations and supervising administrative staff, ensuring compliance with standards and enhancing patient care. Lead initiatives to improve efficiency and foster...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$99K - $185K *

Lead a dynamic Medicaid Care Management team, overseeing programs to enhance compliance and performance. Leverage data analytics to manage high-risk member interventions and deliver optimal patient ca...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $92K *

Champion compassionate end-of-life care as a Hospice RN Case Manager, guiding patients and families through their hospice journey while coordinated care with our dedicated interdisciplinary team...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $134K *

Join us in managing outpatient center operations across multiple locations. Oversee staff, budgets, and ensure compliance with standards while enhancing patient care and operational efficiency. Shape...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Shape the future of patient care by leading evidence-based nursing practices, educational initiatives, and clinical research. Collaborate with healthcare teams to enhance nursing standards, improve pa...

Reposted 3 days ago

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

$150K - $200K *

Drive strategic capital project delivery across a diverse portfolio, ensuring alignment with healthcare goals and standards while managing a collaborative team and fostering strong stakeholder relatio...

Reposted 3 weeks ago

  •   11 - 15 years exp.  •   Hospitals & Medical Centers

$88K - $148K *

Drive patient transitions and sales initiatives within healthcare, ensuring seamless service delivery by collaborating with medical staff and referral sources. Enhance relationships while facilitating...

2 weeks ago

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

$88K - $148K *

Lead the charge in facilitating seamless patient transitions to home care by leveraging your sales expertise and building strong relationships with referral partners, while educating families on care...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Partner with us to enhance patient care while managing operations and team dynamics. Collaborate with stakeholders to drive quality outcomes, oversee budgets, and implement LEAN initiatives to ensure...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$79K - $107K *

Empower a diverse team in delivering quality behavioral health services by supervising assessments, treatment planning, and direct client care, while leading program initiatives and ensuring adherence...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Unlock potential by delivering specialized outpatient care to underserved pediatric populations while ensuring continuity and quality in treatment plans and patient management across school-based heal...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $93K *

Lead comprehensive assessments and care plans to optimize clinical reimbursement while collaborating with a multidisciplinary team to enhance resident care and maintain regulatory compliance...

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$99K - $111K *

Optimize patient records coding and ensure accuracy in diagnostic and procedural classifications. You'll play a critical role in supporting the Central Billing Office to enhance operational efficiency...

1 week ago

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

$75K - $95K *

Shape the future of patient care as a Case Management leader, driving excellence through effective team collaboration, strategic planning, and ensuring quality outcomes. Join a supportive environment...

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $93K *

Drive quality outcomes by reviewing medical records for compliance and reimbursement. Collaborate with clinical teams and external agencies to evaluate care levels and ensure adherence to established...

US-AnywhereRemote

3 weeks ago

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

$72K - $93K *

Join a team that's dedicated to optimizing patient care through comprehensive medical record reviews and quality assurance, ensuring compliance with external regulations while enhancing clinical outco...

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead a dynamic team of healthcare professionals to ensure high-quality patient care, compliance with regulations, and operational excellence within an interdisciplinary setting while driving performan...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$86K - $125K *

Join a team that's dedicated to exceptional patient care, providing clinical leadership and administrative oversight in a dynamic environment. Drive a culture of excellence, patient satisfaction, and...

1 week ago

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

$151K - $235K *

Join a dynamic team focused on providing comprehensive patient care, collaborating with physicians, and enhancing health outcomes. This role emphasizes autonomous management, diagnostic skills, and su...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $111K *

Transform clinical processes by leading a dedicated CQM team, ensuring compliance with standards, and driving quality improvements across programs while fostering staff development and operational exc...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $111K *

Lead the charge in supervising Clinical Quality Management staff, ensuring compliance with standards and policies while managing training, audits, and workflow processes to enhance quality of care and...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

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Innovate your career by providing strategic leadership for quality, patient safety, and risk management across a comprehensive healthcare system, ensuring high standards of care and fostering a cultur...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$190K - $285K *

Support high-quality, patient-centered care in the Emergency Department by coordinating nursing functions, engaging with staff, and enhancing patient outcomes through collaborative management and lead...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

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.