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.
SPD Supervisor - MOP Sterile Processing Hillcrest - 141537
$73K - $131K *
Lead and enhance the sterile processing department by supervising staff, ensuring efficiency and compliance in instrument sterilization. Collaborate with surgical teams to maintain operational excelle...
Yesterday
$100K - $120K *
Transform revenue cycle operations by leading teams in admissions, billing, collection, and denials. Drive continuous improvement and strategic alignment across departments to maximize efficiency and...
2 weeks ago
$81K - $108K *
Transform care management by enhancing member health with tailored strategies, collaborating within an interdisciplinary team to implement and improve care plans, while effectively utilizing technolog...
3 weeks ago
$80K - $95K *
Champion quality improvement initiatives to enhance nursing performance and operational efficiency within a healthcare facility. Collaborate on audits, analyze data, and lead projects that ensure comp...
Today
Oncology Clinical Pharmacy Specialist
$110K - $130K *
Join a team that enhances oncology care through expert pharmacy practices. Collaborate with healthcare professionals to optimize cancer treatment plans and train the next generation of Oncology Fellow...
Yesterday
CDOC (SOCIAL WORK/COUNSELOR III) - Substance Use Disorder Assessor - (DENVER)
$83K - $116K *
Build comprehensive substance use assessments and provide professional behavioral health services for justice-involved individuals, ensuring adherence to treatment standards while collaborating effect...
2 weeks ago
$114K - $124K *
Partner with us to elevate nursing excellence through dynamic leadership in resident care, staff training, and operational compliance, ensuring top-quality service reflecting our commitment to the hig...
4 days ago
Director of Medical Staff Services
$100K - $120K *
Join a dynamic healthcare team to lead and optimize Medical Staff Services. You'll oversee credentialing, meet compliance standards, and enhance operational efficiency while supporting staff engagemen...
2 days ago
Director of Medical Staff Services
$100K - $120K *
Unlock your potential as you oversee medical staff services operations, ensuring compliance with regulations and guiding credentialing processes while promoting effective communication among health pr...
2 days ago
Clinical Outcomes Manager - Population Health
$80K - $95K *
Partner with us to enhance clinical integration initiatives, supporting value-based care by improving practice performance through data insights, proactive coaching, and collaboration with care teams...
2 weeks ago
Director, Strategic Client Growth
$150K - $190K *
Shape the future of enterprise adoption by leading strategic client growth with cross-functional orchestration. Drive long-term success through executive governance, leveraging AI for decision-making...
Reposted 3 days ago
Director, Strategic Client Growth
$150K - $190K *
Join a transformative team dedicated to driving strategic client growth and enterprise adoption of innovative solutions, while fostering executive relationships and orchestrating cross-functional init...
Reposted 3 days ago
Director of Nursing Development Practice
$100K - $120K *
Pioneer the future of clinical education by leading a diverse team to enhance nursing practices. Drive initiatives that promote evidence-based care and ensure ongoing professional development within t...
2 weeks ago
Admitting Clinical Coordinator
$77K - $93K *
Elevate patient care by coordinating timely admissions, collaborating with diverse teams, and utilizing clinical expertise to enhance decision-making for inpatient placements, ensuring smooth transiti...
2 weeks ago
EPIC PROGRAMMER / ANALYST - Inpatient Orders
$80K - $95K *
Contribute to critical inpatient clinical workflows by providing advanced programming and systems analysis support. This role entails managing projects from inception to implementation, ensuring effec...
Today
$97K - $152K *
Make your mark at the forefront of managed care operations, leading a dedicated team in daily coordination and oversight. Drive excellence in case management while enhancing team competencies and educ...
Yesterday
SPD Quality & Education Specialist, 40 Hours
$62K - $111K *
Empower the Sterile Processing Department by managing education and quality. Oversee training, development, and improvement projects while ensuring staff proficiency in sterile processing across multi...
Yesterday
Director, Clinical Data Management
$120K - $145K *
Elevate your career by leading a dynamic Clinical Data Management team, ensuring project deliverables meet quality standards, and fostering open communication while navigating regulatory environments...
2 weeks ago
$80K - $95K *
Unlock potential by leading nursing care delivery in a dynamic unit. You'll evaluate, coordinate, and implement care plans, ensuring excellence in treatment and medication administration while collabo...
2 weeks ago
Nursing Director (RN) Nursing Resource Management
$120K - $238K *
Lead the charge in nursing excellence by overseeing operations, ensuring high-quality patient care, and fostering a collaborative environment. Utilize resources effectively to enhance service delivery...
2 days ago
Director, Claim Research & Resolution - JHP
$110K - $130K *
Transform claims resolution by leading strategic initiatives that enhance accuracy, compliance, and efficiency. Collaborate with cross-functional teams to identify systemic issues and implement sustai...
3 weeks ago
Development Specialist II - HWS
$80K - $104K *
Engage in oversight of policies and procedures, ensuring compliance and quality improvement within workforce development initiatives to support vulnerable populations...
Yesterday
Information Protection Advisor
$95K - $115K *
Shape the future of enterprise infrastructure by designing and supporting critical directory services like Active Directory and DNS, ensuring reliable access across a global landscape while leading pr...
2 weeks ago
RN Acute Care Centralized Sitter Program
$73K - $114K *
Shape the future of patient care by joining a dedicated team that values collaboration and excellence. Play a crucial role in providing top-tier nursing services within a dynamic acute care environmen...
3 weeks ago
Manager - Epic Inpatient Clinical Applications
$95K - $115K *
Champion innovation in Epic inpatient applications, leading teams to optimize clinical workflows and ensuring systems meet performance standards. Drive collaboration among stakeholders to enhance pati...
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.