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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$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...

3 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...

1 month 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...

4 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

$80K - $95K *

Pioneer efforts in enhancing clinical outcomes and safety through data-driven QAPI initiatives. Collaborate with teams to implement performance improvement plans, ensuring compliance and promoting bes...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$87K *

Serve as a vital Code Auditor in healthcare, conducting comprehensive coding audits of medical records, identifying fraud and abuse risk factors, collaborating with providers, and supporting investiga...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive patient access optimization by designing efficient workflows and collaborating with clinical and technical teams. Transform operational needs into effective scheduling solutions to enhance patie...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $105K *

Empower patients by providing collaborative care and self-management support. Utilize nursing expertise to facilitate communication, implement care plans, and engage in wellness activities within a dy...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$102K - $196K *

Grow your career with a dynamic role leading nursing operations in Ambulatory Urology and Gynecology. Oversee clinical excellence, patient care coordination, and staff development to enhance outpatien...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Drive patient care excellence as you consult, educate, and collaborate with healthcare teams, optimizing drug therapy management for chronic conditions and ensuring adherence to pharmacy laws and stan...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Drive document management innovation by optimizing iManage systems for enhanced user experience, collaborating with a multidisciplinary team to ensure efficient information governance and operational...

2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$90K - $110K *

Empower your career by enhancing our document management strategy. This is a user-focused role requiring expertise in document systems administration, project coordination, and user engagement to driv...

3 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$111K - $139K *

Lead the charge in innovative health care consulting projects, collaborating with clients and stakeholders to enhance outcomes through strategic planning, clinical redesign, and data analytics while m...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $122K *

Empower data-driven decision-making by analyzing healthcare metrics, translating financial performance into actionable insights, and collaborating with stakeholders to enhance operational efficiency a...

3 days ago

  •   5 - 7 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.