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.
$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
$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
$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
Enterprise Content Management (ECM) Solutions Developer
$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
$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
$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
Clinical Supervisor- Emergency Department ED
$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
$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
$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
$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
$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...
Reposted 2 weeks ago
Senior Hospital Applications Analyst (Epic - Report Writer)
$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
RN Clinical Nurse IV - Same Day Surgery
$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
RN Manager Grievances & Appeals
$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
$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
Senior Informed Consent Specialist
$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
Program Director, Revenue Cyle Mgmt Site Operations (Care at Home/ASC)
$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
Director, Health Information Management
$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
Ambulatory Access Optimization Specialist - Remote
$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...
Reposted 3 weeks ago
Ambulatory Access Optimization Specialist - Remote
$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
Clinical Manager, Denver CARES
$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
Emergency Department Nursing Director
$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
$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...
Reposted 2 days ago
Supervisor Laboratory Services (MLS)
$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
Registered Nurse - Diabetic Educator, Ambulatory, Supplemental - RN
$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
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.