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.
Supervisor (Clinical Adjudication)
$75K - $95K *
Shape the future of patient care by overseeing independent appeals resolutions, ensuring compliance with Medicare laws and guidelines while addressing patients' and providers' concerns comprehensively...
1 week ago
$90K - $120K *
Advance your career by overseeing clinical services, ensuring quality care, collaborating with healthcare professionals, and leading program development while fostering staff growth and community rela...
1 week ago
Supervisor, Clinical Quality Review
$78K - $134K *
Elevate quality in clinical review operations by leading regulatory audits and ensuring compliance. Oversee the team, manage workflows, and drive educational initiatives to enhance healthcare standard...
Reposted 2 weeks ago
Supervisor, Clinical Quality Review
$78K - $134K *
Join a dynamic team driving clinical quality initiatives and regulatory audits. Lead nursing staff while enhancing operational efficiency, fostering team growth, and ensuring compliance with complex r...
Reposted 2 weeks ago
Supervisor, Clinical Quality Review
$78K - $134K *
Transform clinical quality operations by providing adept leadership, coaching, and support to nursing teams, ensuring efficiency, compliance, and excellence in audits and quality initiatives while nav...
Reposted 2 weeks ago
Supervisor, Clinical Quality Review
$78K - $134K *
Transform clinical quality oversight by leading a team in high-stakes audits and regulatory initiatives, ensuring compliance while driving process improvements and fostering staff development in a dyn...
Reposted 2 weeks ago
Medicare Risk Adjustment Coding Manager
$102K - $115K *
Transform healthcare delivery by leading Medicare Risk Adjustment operations. Oversee coding efforts to enhance documentation integrity, improve quality measures, and streamline processes that directl...
3 weeks ago
Lead Hierarchical Condition Category (HCC) Coding Specialist (Remote)
$72K - $116K *
Reimagine risk-adjustment coding within government programs, ensuring compliance through HCC coding, quality assurance reviews, and stakeholder collaboration. Mentor others, analyze trends, and drive...
3 weeks ago
Manager Coding Education and Denials
$80K - $104K *
Shape the future of healthcare by leading coding education and teams dedicated to enhancing documentation quality and reimbursement accuracy within a dynamic, collaborative environment...
Reposted 3 weeks ago
Registered Nurse (RN) Dialysis Modality Educator
$87K - $110K *
Transform patient care in our home dialysis program by coordinating training, clinical operations, and interdisciplinary collaboration to deliver top-quality treatment options for our patients and the...
4 weeks ago
Clinical Informatics Specialist
$80K - $110K *
Drive clinical innovation by enhancing informatics practices to improve patient care and operational efficiency. Collaborate with healthcare providers to implement EMRs, ensuring adherence to clinical...
3 weeks ago
Clinical Nurse Unit Manager CBC SNF III SCH SCL
$75K - $95K *
Lead clinical activities as a Nurse Manager to ensure high-quality patient care delivery. Collaborate with multidisciplinary teams to maintain compliance with health standards and foster a high-perfor...
2 days ago
Safety Quality Specialist -Pending Certification- Central Processing
$98K - $126K *
Partner with us to enhance patient safety and quality through effective program management and leadership, driving continuous improvement and collaboration across healthcare teams to achieve optimal p...
Reposted 3 weeks ago
EHR Senior Application Analyst (ClinDoc)
$94K - $137K *
Shape the future of healthcare by designing and optimizing EHR systems. This role demands expertise in Epic applications, leading implementation efforts through collaboration, support, and independent...
1 week ago
Decision Support Specialist FT 2026-6795
$94K - $112K *
Unlock insights through advanced data analytics, enabling evidence-based decisions and driving performance improvements within a high-performing team focused on healthcare analytics...
2 days ago
Clinical Quality Assurance Specialist
$75K - $98K *
Join a team that's committed to clinical excellence by conducting thorough audits and ensuring compliance with mental health standards, ultimately impacting the quality of care for clients across insu...
3 weeks ago
Assistant Director of Clinical and Support Services - Hospice
$85K - $110K *
Join a team that's dedicated to enhancing the hospice experience through strategic leadership, operational excellence, and compassionate patient care. Collaborate with clinical staff to ensure quality...
Reposted 4 days ago
$75K - $95K *
Lead a dynamic healthcare team to enhance operations, drive growth, and improve patient and staff experiences. Oversee financial performance, recruitment, quality care, and EMR fluency while ensuring...
2 days ago
CCO In Training, Director of Clinical Services
$90K - $125K *
Empower your career by leading clinical teams in a dynamic training program. Develop key skills and gain hands-on experience crucial for future leadership in home health, hospice, and home care servic...
Reposted 4 days ago
CCO In Training, Director of Clinical Services
$75K - $95K *
Join a team that delivers impactful clinical training, shaping future leaders in home health services. Gain hands-on experience in operations and patient care as you prepare for a Director-level role...
Reposted 4 days ago
CCO In Training, Director of Clinical Services
$75K - $95K *
Join a dynamic training program that equips future leaders to excel in managing home health and hospice services, fostering team culture and driving operational success to prepare for director-level r...
Reposted 4 days ago
$85K - $120K *
Lead the charge in enhancing customer relationships by providing expert clinical application support across a comprehensive imaging portfolio. Drive technology adoption, deliver presentations, and ens...
4 days ago
LPN Care Manager CTO Transition of Care
$61K - $111K *
Lead the charge in enhancing care coordination for Medicare beneficiaries, ensuring timely access to healthcare services and effective communication between patients and care teams. Drive positive hea...
Reposted 1 week ago
$75K - $95K *
Advance patient care excellence by leveraging clinical expertise in case management within a dynamic academic medical center. Collaborate to ensure seamless patient transitions and maintain high-quali...
Reposted 3 weeks ago
RN Clinical Analysis Coordinator
$80K - $100K *
Champion operational excellence by streamlining medical product evaluations, collaborating across departments, and leading initiatives to enhance clinical care and technology implementation within the...
1 week 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.