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.
Clinical Manager-Bethesda-FT (40hrs)
$80K - $100K *
Manage daily clinical operations by leading staff, optimizing performance, and ensuring compliance with healthcare standards. Contribute to patient-centered care in a multi-specialty setting while enh...
Reposted 3 weeks ago
Manager Hospital Outpatient Coding
$80K - $104K *
Advance your career by leading outpatient coding operations, ensuring accuracy and compliance through effective team management and collaboration. Drive performance improvement and uphold high standar...
2 weeks ago
Manager Hospital Outpatient Coding
$80K - $104K *
Transform the outpatient coding process by leading a dynamic team, ensuring adherence to regulatory standards, and driving improvements in accuracy and compliance across coding operations for enhanced...
2 weeks ago
Medical Policy & Coding Project Consultant- RN/CRNP
$80K - $95K *
Lead the charge in cross-functional initiatives around Medical Policy and Coding. Utilize advanced clinical knowledge and analytical skills to develop, evaluate, and implement organizational policies...
2 days ago
Medical Policy & Coding Project Consultant- RN/CRNP
$80K - $95K *
Lead the charge in cross-functional initiatives related to Medical Policy and Coding, applying clinical knowledge and data analysis to enhance organizational efficiency and support evidence-based clin...
3 days ago
Epic Inpatient ClinDoc Analyst
$75K - $95K *
Elevate healthcare outcomes by optimizing Inpatient ClinDoc applications, serving as the bridge between users and operational leaders while ensuring quality support and collaboration in Epic EHR-relat...
Reposted 4 weeks ago
$75K - $95K *
Empower the healthcare ecosystem by managing critical EHR systems, ensuring seamless application support, and collaborating with various stakeholders to enhance operational efficiency and user experie...
2 weeks ago
Director of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing Unit
$102K - $162K *
Drive excellence by overseeing and optimizing the Charge Description Master (CDM), ensuring compliance and accuracy in billing. Collaborate with stakeholders to enhance charge capture and streamline p...
3 weeks ago
Clinical Informaticist - CCC/Camino Media
$100K - $120K *
Partner with us to enhance clinical workflows and optimize Epic EHR functionalities. Collaborate with healthcare teams to ensure efficient patient care through effective IT solutions, continuous impro...
5 days ago
Document Digitization Specialist
$59K - $122K *
Empower document digitization initiatives by ensuring accurate and secure conversion of physical records to electronic formats while adhering to quality standards and production schedules in complianc...
4 days ago
$80K - $110K *
Oversee managed care contracts by collaborating with hospital departments and payers. Ensure effective negotiations to balance growth and profitability while addressing payment issues for optimal reve...
3 weeks ago
Clinical Quality Assurance Specialist - Bone Marrow Transplant Program
$74K - $107K *
Champion quality improvement initiatives to enhance patient safety and regulatory compliance in the Bone Marrow Transplant Program. Monitor, audit, and collaborate with diverse teams to maintain high...
Reposted 3 days ago
Manager Clinical Documentation
$75K - $95K *
Lead the charge in clinical documentation improvement management, enhancing document quality and compliance. Oversee concurrent reviews, collaborate with healthcare teams, and implement effective CDI...
3 weeks ago
Manager Clinical Documentation
$90K - $120K *
Join a team that optimizes clinical documentation quality and completeness. Lead CDI staff, enhance documentation accuracy, and drive improvements in patient outcomes through collaboration with health...
3 weeks ago
$104K - $137K *
Join a team that's dedicated to enhancing database solutions while mentoring others. You'll develop robust database applications, create critical reports, and ensure data integrity to support healthca...
1 week ago
(CNS) Clinical Nurse Specialist - Periop - 140826
$184K - $209K *
Create impactful changes in perioperative nursing by leading clinical practices, strategies, and educational initiatives. Collaborate extensively with management to ensure high standards of patient ca...
4 days ago
Program Administrator, Certification Programs
$74K - $90K *
Drive excellence by managing and enhancing certification programs globally, providing essential support to oncology practices while improving customer experiences through operational efficiencies and...
2 days ago
Cardiovascular Invasive Specialist
$74K - $122K *
Join a team that's dedicated to delivering expert cardiovascular care through precise assistance in invasive diagnostic and therapeutic procedures. Collaborate with physicians to ensure optimal patien...
Reposted 5 days ago
Cardiovascular Invasive Specialist
$74K - $122K *
Elevate patient care by coordinating complex invasive cardiovascular procedures. Work alongside physicians in a multidisciplinary setting, supporting patient management and ensuring procedural effecti...
Reposted 1 week ago
Cardiovascular Invasive Specialist
$74K - $122K *
Seeking a skilled cardiovascular invasive specialist to assist in complex procedures, manage patient care, and ensure equipment functionality in a dynamic, multidisciplinary lab environment. Contribut...
Reposted 2 weeks ago
Cardiovascular Invasive Specialist
$74K - $122K *
Shape the future of healthcare by coordinating and assisting with complex invasive cardiovascular procedures. Collaborate with a multidisciplinary team to ensure optimal patient management before, dur...
2 weeks ago
$80K - $100K *
Elevate surgical outcomes as you play a key role in assisting surgeons across various specialties. Utilize your skills in complex techniques while enjoying full-time stability, competitive pay, and pr...
3 weeks ago
$75K - $95K *
Play a key role in providing surgical assistance across various specialties, ensuring high-quality patient care and effective collaboration with surgeons during procedures. Engage in continuous learni...
4 weeks ago
$75K - $95K *
Empower the future of healthcare by ensuring the accuracy of Medicare services through meticulous review of documentation and records. Play a crucial role in enhancing the integrity of the Medicare pa...
3 weeks ago
$85K - $90K *
Unlock potential by managing multi-line liability claims for a national account. This role demands thorough investigation, negotiation, and timely resolution with a commitment to quality service and c...
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.