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.
$72K - $93K *
Partner with us to elevate coding accuracy and compliance through professional fee audits, coder education, and workflow optimization in a fully remote, flexible environment that values quality and cu...
5 days ago
$77K - $112K *
Transform patient care by applying advanced nursing expertise across multiple spheres, including individual patients and nursing practices. Engage in education, research, and leadership to establish e...
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Rehab Director / PT / PTA / SLP-CCC
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Bring your expertise to lead rehabilitation services in a dynamic, hands-on role. Oversee patient programs, manage operations, and guide staff to enhance recovery outcomes in a supportive skilled nurs...
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$90K - $120K *
Shape the future of outpatient mental health services by overseeing clinic operations, managing staff, and ensuring quality client care in a fast-paced environment dedicated to excellence and innovati...
3 weeks ago
$70K - $95K *
Take ownership of developing and optimizing healthcare software applications while enhancing operational efficiency through innovative programming solutions and data analysis. Collaborate with teams e...
5 days ago
Dining Service Department Manager (CDM or DSS Certification Preferred)
$79K - $83K *
Manage the Dining Services Department to ensure high-quality food delivery, compliance with standards, and effective team leadership in a dynamic environment that emphasizes safety, customer satisfact...
1 week ago
Senior Improvement RN - Pediatric Quality
$75K - $95K *
Partner with us to drive performance improvements and enhance patient safety through strategic initiatives. You'll guide multidisciplinary teams to achieve quality outcomes, ensuring compliance and fo...
1 week ago
Medical Information Specialist
$70K - $95K *
Join a team dedicated to delivering scientific, evidence-based support in a dynamic Medical Information role, engaging with healthcare professionals and contributing to patient safety through product...
2 days ago
Medical Information Specialist
$70K - $95K *
Execute exceptional medical information support to healthcare professionals, ensuring accurate and timely responses to inquiries while handling adverse events within a collaborative team environment...
2 days ago
Emergency Room Clinical Nurse Coordinator
$75K - $95K *
Redefine patient care delivery by leading a nursing team to ensure high-quality, patient-centered services, while managing workflow, collaborating with staff, and supporting professional development t...
3 days ago
Emergency Room Clinical Nurse Coordinator
$75K - $95K *
Champion quality care as you direct nursing operations, enhance patient experiences, and foster teamwork in a fast-paced environment, ensuring high standards while supporting staff development and mee...
3 days ago
Clinical Nurse B-Infusion Cntr - Children's Hospital
$80K - $100K *
Support critical patient care by providing specialized infusion therapies, ensuring quality outcomes, and enhancing patient satisfaction while adhering to established protocols in a dynamic outpatient...
3 weeks ago
$70K - $95K *
Optimize your career by joining our data management team to develop and maintain clinical databases for critical studies. Collaborate globally and strengthen your expertise in electronic data capture...
Reposted 3 days ago
SENIOR EPIC ANALYST-EPIC HOSPITAL BILLING
$90K - $120K *
Shape the future of healthcare IT by managing and enhancing the Professional Billing Epic module. Collaborate across teams to deliver efficient solutions and improve patient experience while mentoring...
1 week ago
Speech Language Pathologist - Acute Care
$74K - $134K *
Empower patients by diagnosing and treating speech-language and swallowing disorders. Lead therapy programs, conduct evaluations, and collaborate with a health team to enhance recovery and quality of...
5 days ago
Physician Assistant-QHC-13500-015
$146K - $193K *
Manage the frontline clinical care of surgical patients while providing support in various specialty areas. Collaborate with multidisciplinary teams and engage in teaching, quality assurance, and emer...
2 weeks ago
Quality Auditor, Hospital Bill Audits & Itemized Bill Review (Program Integrity)
$75K - $95K *
Analyze and validate healthcare audit processes, enhancing compliance and accuracy in hospital billing audits while fostering continuous quality improvement through detailed reporting and feedback mec...
3 days ago
Quality Auditor, Hospital Bill Audits & Itemized Bill Review (Program Integrity)
$75K - $95K *
Champion quality oversight for hospital bill audits, ensuring compliance and accuracy in audit findings. Collaborate with teams to enhance processes, reduce errors, and support provider interactions f...
3 days ago
Clinical Practice Specialist RN - Falls and CAUTI
$75K - $95K *
Shape the future of patient care by leading nursing initiatives, coordinating policy development, and enhancing communication across departments to ensure high-quality care and support the organizatio...
1 week ago
Practice Clinical Supervisor , RN - AMG Cardiology Outpatient - Multiple Location
$90K - $110K *
Transform healthcare by leading a dedicated team of nurses and assistants in the delivery of high-quality clinical care across multiple locations. Drive patient outcomes through effective management a...
2 weeks ago
Practice Clinical Supervisor , RN - AMG Cardiology Outpatient - Multiple Location
$90K - $110K *
Lead clinical operations and patient care across multiple sites while supervising nursing staff and ensuring compliance in a fast-paced environment. Utilize your expertise in cardiology to enhance pat...
2 weeks ago
Network Director, Quality & Patient Safety (Ukiah)
$120K - $150K *
Shape excellence in healthcare by leading strategic initiatives in safety, quality, and performance improvement. Collaborate with executive leadership to enhance clinical outcomes and foster a culture...
4 days ago
$143K - $202K *
Grow data management capabilities by leading a cross-functional team, delivering high-quality data solutions, and fostering innovation while ensuring alignment with business needs and governance stand...
1 week ago
$76K - $95K *
Oversee the coordination of health information management activities, ensuring efficiency in document imaging, record audits, and compliance with regulations, while providing training and support to s...
3 weeks ago
Senior Epic Clinical Systems Analyst (Full Time, Day)
$100K - $130K *
Engage with clinicians and IT teams to optimize Epic applications, ensuring efficient clinical workflows and compliance. Drive innovations while mentoring junior analysts to enhance patient care throu...
5 days 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.