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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$85K - $100K *

Empower exceptional patient care by providing triage, assessment, treatment, and education in a fast-paced Emergency Department environment. Collaborate with a multidisciplinary team to enhance qualit...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$116K - $153K *

Join a dynamic team to implement and support healthcare applications, enhancing patient care through effective technology solutions. Ensure system stability, provide tier-2 support, and collaborate cr...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead the implementation of data governance and management initiatives, ensuring accurate classification and protection of sensitive data while collaborating with stakeholders to enhance data quality a...

Toronto, ONIn-Person

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$78K - $114K *

Transform individualized home nursing care through collaboration and leadership. Utilize the nursing process to assess, plan, implement, and evaluate care for residents, ensuring high standards in com...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $105K *

Champion compliance initiatives while enhancing safety and quality standards across departments. Collaborate with leadership to develop programs and training that ensure adherence to local and nationa...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $105K *

Engage with cross-functional teams to ensure compliance with safety and quality standards while developing training programs and coordinating interdepartmental efforts to enhance organizational practi...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Drive strategic leadership in healthcare operations, enhancing quality and performance across provider networks to achieve value-based care goals and sustainable outcomes...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$125K - $150K *

Shape innovative clinical strategies across multiple states while leading specialty consult programs in post-acute settings. Collaborate with executives and healthcare teams to ensure high-quality car...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$110K - $130K *

Drive exceptional hospital billing operations by leading strategic initiatives, enhancing performance, and ensuring compliance across diverse service lines while fostering a strong team culture focuse...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $94K *

Champion your career by leading audits and coding for medical records, ensuring compliance with industry standards and tackling fraud investigations to enhance service delivery across health plans...

US-AnywhereRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $105K *

Elevate your career by overseeing clinical research operations, ensuring ethical conduct, quality patient care, and regulatory compliance while leading a team to maximize trial effectiveness and colla...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Inspire nursing excellence by leading a dedicated team, fostering growth, and ensuring the highest standards of care in a vibrant rehabilitation setting. Drive quality outcomes through effective leade...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$102K - $163K *

Accelerate organizational performance by leveraging your analytics expertise to design, develop, and implement advanced solutions. Transform complex healthcare data into actionable insights, guiding k...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$66K - $94K *

Transform patient care by providing expert nursing support, assessing vital signs, and triaging calls. Ensure accurate documentation while collaborating with a dedicated team to enhance patient outcom...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $140K *

Champion user security and access management by overseeing complex identity and provisioning tasks, ensuring compliance with organizational standards, and supporting collaboration across teams to enha...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $140K *

Advance your career by managing complex identity and access security solutions. This pivotal role requires expertise in user provisioning, Epic security, and compliance, driving operational security p...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $148K *

Shape nursing education and professional development to elevate care standards and improve patient outcomes in burn trauma and medical/surgical settings. Collaborate with staff to enhance competencies...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $90K *

Advance your career by managing healthcare operations, enhancing patient care, and leading a dedicated team. Drive practice initiatives, optimize workflows, and ensure confidentiality while transformi...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $150K *

Lead the charge in advancing clinical revenue cycle management initiatives, ensuring accurate documentation and coding while driving performance improvements across diverse stakeholders to enhance rev...

US-AnywhereRemote

Reposted today

  •   8 - 10 years exp.  •   Healthcare

$77K - $123K *

Transform your career by leveraging your expertise in quality assurance and systems configuration. Engage in technical analysis, improve business processes, and ensure compliance within health care op...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Transform patient care by coordinating efforts within our Enhanced Care Management program. Utilize clinical expertise and teamwork to foster holistic health solutions for diverse populations, ensurin...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Join a dynamic team as an RN Coordinator, supporting patient care through interdisciplinary collaboration, care management, and community outreach. Utilize leadership and clinical skills to improve he...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $84K *

Engage with a multidisciplinary team to enhance Primary Care services, ensuring effective management, regulatory compliance, and exceptional patient care through collaboration, staffing, and quality i...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Contribute to the operational success of our Configuration Management Database by enhancing ServiceNow Discovery processes, ensuring data accuracy, and collaborating with IT teams for reliable visibil...

1 week ago

  •   Less than 5 years exp.  •   Information Technology

$100K - $120K *

Shape the future of quality care by leading clinical services, ensuring compliance and enhancing patient safety through data-driven improvement programs and collaborative team guidance, all while nurt...

5 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.