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.
ASSISTANT NURSE MANAGER CLINICAL DECISION UNIT
$80K - $95K *
Drive excellence in nursing leadership as you collaborate with teams to enhance clinical quality, patient safety, and service delivery, while taking on administrative responsibilities supporting the N...
2 weeks ago
$120K - $150K *
Develop and enhance advanced clinical applications to optimize workflows. Collaborate with cross-functional teams to implement vital software solutions that improve operational efficiency and support...
3 weeks ago
$120K - $150K *
Lead a team of analysts to enhance Epic Professional Billing and Claims applications, ensuring high-quality support, effective project management, and advanced problem resolution while fostering colla...
3 weeks ago
$75K - $95K *
Join a team that's dedicated to enhancing patient care through specialty education and professional development. Collaborate with clinicians to design and implement training programs that elevate nurs...
Reposted 1 week ago
$102K - $196K *
Transform nursing engagement and retention by providing personalized career support, coaching, and development opportunities while collaborating with leadership to enhance workforce strategies and str...
3 weeks ago
$90K - $120K *
Transform client success by leading and mentoring a dynamic team of consultants and project managers, overseeing project delivery, and implementing best practices to optimize performance and achieve m...
Reposted 2 weeks ago
Quality Reporting Program Manager
$85K - $100K *
Drive quality improvement initiatives by managing data collection, validation, and reporting for healthcare metrics. Collaborate with clinical leaders to translate data into actionable insights, enhan...
1 month ago
Sr Epic Applications Analyst (Deficiency Tracking/Identity)
$90K - $120K *
Drive operational excellence by advancing Epic application functionality, ensuring efficient workflows, and providing expert analysis and support in a complex healthcare setting. Collaborate with dive...
1 week ago
Manager, Payment Integrity- Readmission
$87K - $157K *
Champion Payment Integrity initiatives by leading teams to enhance readmission reviews, ensuring compliance and accuracy. Collaborate cross-functionally to drive results, optimize practices, and maint...
1 week ago
Clinical Nurse Manager- Behavioral Health Unit 1-Night Shift-Mansfield Hospital
$75K - $95K *
Empower nursing excellence by leading patient care delivery, fostering teamwork, and ensuring high standards of clinical management. Drive operational efficiency and promote continuous improvement whi...
1 week ago
Clinical Nurse Leader- Hartford Satellite 40 hour days
$75K - $95K *
Transform patient care and outcomes by leading interdisciplinary teams. Utilize clinical expertise and evidence-based practices to manage complex patient needs and enhance quality. Collaborate with nu...
3 weeks ago
$75K - $95K *
Join a team dedicated to enhancing coding accuracy through audits and educational initiatives. This role offers opportunities to lead, mentor, and develop coding expertise while ensuring compliance wi...
Reposted 1 week ago
$121K - $197K *
Shape the future of patient care by leading high-quality care coordination across the healthcare continuum. Collaborate with medical teams, advocate for patients, and enhance healthcare services throu...
1 week ago
Assoc. Masters Mental Health Prof. Adult Generalist/Connect
$101K - $104K *
Support mental health treatment by providing assessments, crisis intervention, and collaboration with interdisciplinary teams to enhance patient outcomes for diverse needs in a clinic setting...
5 days ago
Clinical Site Manager, Physical Rehabilitation Services
$90K - $154K *
Transform clinical operations by managing teams and enhancing patient care while ensuring efficient resource use and compliance with standards in a dynamic rehabilitative environment. Drive quality im...
2 weeks ago
Clinical Site Manager, Physical Rehabilitation Services
$90K - $154K *
Drive operational excellence in Physical Rehabilitation Services while providing direct patient care and coaching a diverse team. Collaborate with senior management to achieve strategic goals, ensurin...
2 weeks ago
Manager Perioperative Services
$75K - $95K *
Transform your career with impactful clinical and administrative leadership. Manage staff, uphold budget compliance, and drive exceptional patient care through collaboration and effective decision-mak...
1 week ago
$79K - $107K *
Join a team that's dedicated to providing comprehensive psychosocial support to cancer patients and their families. You'll coordinate care across a multidisciplinary team while addressing complex psyc...
1 week ago
Assistant Director of Nursing (ADON)-Emergency (ED)
$110K - $120K *
Innovate your career with a leadership role that enhances emergency care outcomes through team collaboration, strategic goal setting, and budget management, ensuring quality service delivery for patie...
2 days ago
$90K - $120K *
Transform the clinical trials landscape by leading end-to-end study start-up processes. Collaborate with teams to ensure compliance and drive continuous improvement, while mentoring a dedicated team t...
3 weeks ago
Director of Nursing - El Dorado-Nursing Administration
$80K - $100K *
Support the Administrator in enhancing patient care services and ensuring operational excellence across the healthcare system, while promoting adherence to medical standards and financial integrity...
1 week ago
$80K - $100K *
Champion patient care by assessing, planning, and implementing individualized nursing strategies in a collaborative environment, ensuring compliance with regulatory standards and enhancing quality out...
2 weeks ago
Clinical Manager-Emergency Psychiatric, Full Time
$70K - $100K *
Transform your career by leading impactful programs in behavioral health. Manage operations, oversee staff, and ensure quality service delivery while fostering a nurturing environment for patient care...
Reposted today
Clinical Nurse Coordinator - MASLD Liver Program
$95K - $119K *
Optimize patient care by coordinating education, advocacy, and support for those affected by MASLD. Join a dedicated team to enhance liver health outcomes through collaboration and clinical expertise...
Today
$80K - $100K *
Engage as a Medical Standards Provider SME to enhance military personnel health assessments and ensure optimal medical readiness for deployment, service retention, and administrative dispositions with...
2 weeks 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.