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.
$74K - $122K *
Join a dedicated team delivering high-quality CT imaging care across multiple healthcare facilities. Contribute to patient safety, and quality improvement while fostering a culture of support and prof...
2 weeks ago
$76K - $106K *
Unlock potential by providing evidence-based leadership and consultation on quality and clinical standards in continuing care, collaborating with healthcare teams to enhance care delivery, policy deve...
3 weeks ago
Associate Director-Clinics - Comprehensive Care Center
$100K - $120K *
Join a dedicated team leading operational excellence across multiple clinics, ensuring high-quality care and efficiency. Collaborate with leadership to implement strategies that enhance patient satisf...
2 days ago
Clinical Outcomes Manager (Emergency Department)
$85K - $100K *
Champion quality and safety initiatives to enhance operational performance. Collaborate with multidisciplinary teams to implement improvement processes, educate staff, and navigate regulatory requirem...
1 week ago
$110K - $143K *
Partner with us to enhance maternal and neonatal outcomes through quality initiatives. Drive patient safety strategies, collaborate with interdisciplinary teams, analyze clinical metrics, and promote...
6 days ago
RN Clinical Supervisor, CTSICU - Allegheny General Hospital
$80K - $95K *
Oversee the provision of professional nursing care, coordinating clinical activities while ensuring patient safety, quality measures, and effective staffing within a dynamic ICU environment focused on...
Reposted 1 week ago
Manager - Inpatient Case Management
$85K - $100K *
Join a team that's dedicated to advancing healthcare through effective Case Management, leveraging your leadership skills and clinical expertise to support patient outcomes across a comprehensive heal...
Yesterday
Director of Clinical Systems, Analytics & Business Intelligence
$117K - $143K *
Bring your expertise to drive strategic leadership in clinical systems and analytics, ensuring technology aligns with organizational priorities and supports Behavioral Health and Community Services th...
2 weeks ago
$85K - $100K *
Drive operational excellence by overseeing hospital staff, ensuring compliance, facilitating communication, and managing emergencies while actively enhancing patient care resources and addressing staf...
Reposted 4 days ago
$80K - $95K *
Join our team to oversee nursing operations, fostering high-quality patient care and promoting a cohesive environment that nurtures staff development and achieves clinical goals...
Yesterday
$80K - $95K *
Lead the nursing unit to ensure high-quality, patient-centered care while managing staff, budgets, and compliance. Foster collaboration and professional growth, aligning unit goals with facility stand...
1 week ago
$80K - $95K *
Transform the nursing landscape by managing a dedicated cardiology unit, ensuring high-quality patient care and operational excellence through effective leadership, staff development, and interdiscipl...
1 week ago
$75K - $95K *
Oversee the delivery of high-quality nursing care and manage daily operations of the nursing unit. Collaborate with staff and medical teams to implement goals and improve patient outcomes while ensuri...
2 weeks ago
$75K - $95K *
Develop and oversee high-quality patient care through effective nursing management, coordinating staff performance and departmental operations to ensure alignment with organizational goals and complia...
3 weeks ago
Manager of Behavioral Health Quality
$90K - $120K *
Lead a team to define and implement impactful Behavioral Health quality improvement strategies. Collaborate across departments to ensure optimal care, utilizing data analytics and project management t...
3 weeks ago
Patient Admin Specialist IV, Surgery/Radiology
$76K - $86K *
Engage in patient coordination, surgery scheduling, and front office tasks in an outpatient clinic. Collaborate across teams to manage referrals, enhance patient experiences, and mentor staff while en...
2 weeks ago
Information Protection Advisor- Hybrid
$103K - $171K *
Transform your expertise into impactful information security strategies while leading technical assessments, collaborating across teams, and ensuring scalable security controls for continuous complian...
Reposted 1 week ago
Senior Director, Compliance Officer
$150K - $180K *
Lead the development and execution of a robust compliance strategy, ensuring adherence to healthcare regulations while fostering an ethical organizational culture and mitigating risks across operation...
3 days ago
$90K - $136K *
Analyze and optimize Epic OpTime and Anesthesia applications to enhance operating room efficiency. Collaborate with clinical and technical teams for seamless integration while providing expert support...
2 days ago
Clinical Coordinator Emergency Dept
$75K - $90K *
Join a team that's committed to facilitating patient flow and enhancing care quality. Lead a dedicated nursing staff in delivering exceptional service while overseeing compliance and operational effic...
3 days ago
Professional Development Nurse (RN) - Main Operating Room, Cardiovascular service
$95K - $135K *
Tackle the dynamic role of developing and implementing nursing orientation and competency programs. Collaborate with interdisciplinary teams to enhance the educational experience and ensure high-quali...
1 week ago
$75K - $95K *
Advance your career by leading coding operations within a dynamic team. Ensure compliance, manage coding quality, and drive operational success across various healthcare services while fostering colla...
3 weeks ago
LTSS Service Coordinator – RN Clinician (RN Case Manager)
$75K - $94K *
Empower individuals with chronic conditions by coordinating comprehensive care plans, ensuring their health needs are met while collaborating with healthcare professionals for optimal outcomes across...
Reposted 1 week ago
LTSS Service Coordinator – RN Clinician (RN Case Manager)
$75K - $94K *
Engage in effective care coordination as an RN Service Coordinator, managing member care plans across health domains, ensuring impactful support for individuals with chronic conditions while collabora...
Reposted 1 week ago
Data Management and Governance Analyst
$80K - $100K *
Join a dynamic team as you ensure high-quality data governance and management practices. Utilize your analytical skills to enhance data accuracy and facilitate reliable reporting across various organi...
1 week 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.