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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$80K - $95K *

Champion the management and enhancement of clinical and operational systems. Collaborate across departments to support functionality, user training, and system optimization, ensuring safety and qualit...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Pioneer data-driven strategies as a vital statistical programmer, enhancing ALS research through meticulous data management, analysis, and programming. Collaborate closely with experts to impact thera...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Lead the charge in operational excellence and financial stewardship across clinical departments, ensuring effective leadership during transitions, advancing organizational growth, and optimizing perfo...

3 weeks ago

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

$88K - $105K *

Deliver efficient document management solutions by collaborating across state agencies. Develop, enhance, and support IBM ECM technologies to ensure user-focused services in a dynamic IT environment...

2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$71K - $97K *

Transform patient health outcomes by leading care transitions and quality improvements. Drive Medicare Advantage Stars performance through proactive patient engagement and interdisciplinary collaborat...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $92K *

Take ownership of medical care for youth in foster homes, ensuring health needs are met through monitoring, training parents, and coordinating with medical agencies while maintaining compliance with r...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $115K *

Elevate nursing excellence by leading an energetic Emergency Department team. Drive patient care quality, implement process improvements, and nurture staff development while maintaining hands-on clini...

2 weeks ago

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

$114K - $131K *

Join a dedicated team to provide holistic nursing care, assess patient needs, and coordinate with healthcare providers for optimal participant outcomes, all while maintaining high standards in clinica...

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$146K - $194K *

Transform healthcare delivery by joining a dedicated midwifery team to provide compassionate, patient-centered care in a collaborative environment focusing on obstetric and gynecological services with...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Drive excellence in nursing care by overseeing operations, leading staff, and ensuring regulatory compliance. Collaborate with interdisciplinary teams to enhance resident outcomes and promote a cultur...

Reposted 1 week ago

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

$120K *

Support key cybersecurity compliance initiatives, including CMMC certification. Collaborate with teams to develop and maintain security documentation, conduct assessments, and ensure adherence to regu...

US-AnywhereRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$89K - $129K *

Contribute to the development and implementation of analytical solutions, collaborating with stakeholders to transform clinical and operational data into actionable insights through effective reportin...

2 days ago

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

$80K - $122K *

Join a team that's dedicated to providing expert nursing care across complex outpatient procedures. Contribute to patient outcomes while mentoring staff and fostering interdisciplinary collaboration i...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$102K - $196K *

Transform operations and enhance service quality by managing clinical appeals, complaints, and grievances. Lead a skilled team, ensure compliance with standards, and foster continuous improvement to d...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$125K *

Drive excellence in Records & Information Governance by leading operations across client sites, managing teams, and enhancing compliance and efficiency through strategic process improvements and techn...

2 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$100K - $120K *

Drive the creation and oversight of informed consent strategies for global clinical studies, ensuring ethical compliance and participant understanding while mentoring teams and interacting with stakeh...

4 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$134K - $210K *

Lead strategic initiatives in revenue cycle management that optimize operational efficiency and enhance financial performance. Collaborate with stakeholders to align goals and drive continuous improve...

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $120K *

Grow your career with a dynamic team overseeing health information management services, enhancing compliance with regulations, and leading the transition to electronic health records while ensuring op...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $117K *

Drive operational excellence by optimizing scheduling workflows and Epic tools. Partner with departments to implement access standards, reduce variability, and enhance performance in patient access th...

US-AnywhereRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $117K *

Optimize patient access and scheduling by collaborating with departments to enhance workflows and implement Epic tools. Ensure sustainability of access standards and drive measurable scheduling improv...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $145K *

Shape and enhance Behavioral Health services through effective leadership, oversight, and collaboration with social work teams. Focus on staff development, budget management, and policy implementation...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Elevate the quality of care by leading a high-performance Emergency Department team, focusing on operational excellence and strategic initiatives while promoting collaborative staff engagement and reg...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Join a team that's transforming data into impactful insights, where you will design, implement, and govern data systems that enhance analytics and support organizational growth through informed decisi...

US-AnywhereRemote

Reposted 2 days ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$80K - $95K *

Contribute to the success of a dynamic clinical laboratory by overseeing multiple departments, ensuring operational excellence, compliance with regulations, and driving departmental projects. Collabor...

3 weeks ago

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

$80K - $95K *

Lead the coordination of diabetes nursing care, focusing on patient education and transitions of care while ensuring quality improvement and effective communication across practice settings...

3 days 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.