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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1
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$110K - $130K *

Lead the strategic oversight of GCP Quality Management Systems, ensuring compliance across global clinical operations, fostering continuous improvement, and managing a dynamic QA team. Drive quality i...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$113K - $141K *

Optimize clinical outcomes in managed communities by training staff and ensuring compliance with regulations. Drive quality care as a registered nurse while collaborating closely with multiple sites t...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$113K - $141K *

Join a team that's dedicated to ensuring clinical success across various communities by supporting regulatory compliance, training, and quality care practices while demonstrating strong leadership in...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$113K - $141K *

Champion exceptional clinical care by guiding LCS managed communities in compliance, training, and quality standards. Leverage your nursing expertise to ensure successful implementation of clinical pr...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Grow your leadership skills by managing nursing teams and processes, enhancing patient care quality, and driving operational excellence in a collaborative environment that prioritizes safety and well...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Analyze healthcare services for medical necessity and efficiency. Ensure compliance and optimize patient care while securing necessary authorizations and thorough documentation. Collaborate with inter...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $113K *

Lead the charge in coordinating resident assessments and care plans, ensuring compliance with federal guidelines while working closely with interdisciplinary teams to enhance the quality of care and f...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$79K - $123K *

Drive exceptional nursing care by utilizing expertise in patient assessment and coordination. Collaborate with healthcare teams to enhance treatment plans and provide education, ensuring comprehensive...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$79K - $123K *

Join a team that's dedicated to providing comprehensive nursing care to patients. Leverage your expertise in collaboration with health professionals to optimize patient outcomes in a dynamic, fast-pac...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$86K - $118K *

Join a dynamic team as you lead regional coding operations, drive performance, ensure alignment with provider needs, and enhance coding accuracy. Utilize your expertise to support value-based care and...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Optimize EHR workflows and support Epic modules for healthcare departments, leading projects and collaborating with stakeholders to enhance system functionality and performance through effective testi...

US-AnywhereRemote

3 weeks ago

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

$75K - $95K *

Advance your career by collaborating closely with nursing leadership to ensure high-quality, cost-effective patient care. Lead team development, manage staffing, and drive continuous improvement in he...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$141K - $161K *

Elevate the standard of diabetes care by delivering superior clinical education and product training. Collaborate with healthcare providers and innovative teams to ensure effective adoption of advance...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $118K *

Drive impactful nutrition care as a Registered Dietitian, delivering direct patient education and consultations within a specialty area, ensuring adherence to established standards and protocols for o...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Contribute to the delivery of exceptional nursing care by implementing policies, ensuring optimal staffing, and overseeing resident well-being while fostering departmental growth and excellence...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$133K - $172K *

Lead the charge in aligning diverse stakeholders to drive successful business initiatives, ensuring compliance, optimizing processes, and managing complex projects while fostering collaboration and pr...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$50K - $167K *

The Co-Occurring Disorder Counselor is responsible for providing outpatient treatment services to individuals with co-occurring mental health and substance use disorders. This role involves facilitati...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $99K *

Champion employee policy development and compliance, driving governance and operational support in collaboration with HR teams. Ensure legal adherence and facilitate smooth geographical expansion thro...

3 weeks ago

  •   Less than 5 years exp.  •   Business Services

$90K - $120K *

Join a team that's delivering top-tier cardiac care in a new office, focusing on patient outcomes and teamwork. This role offers a chance to improve health within the community and practice cutting-ed...

2 weeks ago

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

$127K - $133K *

Champion effective patient care by mentoring nursing staff, conducting assessments, and ensuring quality standards. Collaborate with interdisciplinary teams to improve health outcomes for patients wit...

Reposted 2 days ago

  •   Less than 5 years exp.  •   Healthcare

$127K - $133K *

Advance your career by mentoring clinicians and enhancing quality of care for older adults. Engage in hands-on patient care combined with leadership responsibilities and collaborate with interdiscipli...

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$127K - $133K *

Play a key role in enhancing care for older adults by mentoring clinicians and overseeing comprehensive patient visits. Lead a passionate team to deliver high-quality, person-centered home care and ev...

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$127K - $133K *

Grow your career with a rewarding opportunity to mentor clinicians, improve care quality, and support older adults in their homes. Join a dedicated interdisciplinary team committed to delivering compa...

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$127K - $133K *

Drive patient-centered care by mentoring clinicians and ensuring quality delivery. Engage in hands-on nursing while collaborating with a dedicated team to enhance the well-being of older adults in the...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$127K - $133K *

Transform patient care by leading an interdisciplinary team, mentoring clinicians, and conducting in-home visits. Drive quality improvements and ensure compliance while providing essential support to...

3 weeks 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.