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.
Documentation Education Specialist IV - Remote must live in Washington or Idaho
$91K - $117K *
Contribute to our Coding Education program by developing training curriculums, conducting needs assessments, delivering training, ensuring compliance with regulations, and maintaining high coding stan...
Reposted 2 weeks ago
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Lead the charge in delivering quality, culturally competent nursing care by directing and supervising clinical and administrative resources, collaborating with interdisciplinary teams, and ensuring ad...
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$110K - $130K *
Lead the charge in enhancing patient care through effective case management strategies. Oversee department operations, ensure compliance, and collaborate with healthcare teams to promote quality outco...
Yesterday
$125K - $150K *
Join a team that leads case management services to enhance patient care, ensuring compliance and high standards. Oversee the development of strategies for effective utilization and care coordination w...
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Registered Nurse - HCC/RAF Coding Specialist
$89K - $121K *
Drive impactful population health initiatives by leveraging clinical expertise and coding skills. Collaborate with healthcare providers to enhance documentation quality, support Medicare Risk Adjustme...
Reposted 1 week ago
$99K - $152K *
Join a team that inspires excellence in nursing by overseeing clinical and administrative operations, ensuring quality patient care, and fostering a collaborative environment for continuous improvemen...
Reposted 6 days ago
Clinical Team Specialist – Home Health & OASIS
$85K - $95K *
Take ownership of patient care services by coordinating, assessing, and updating individualized care plans. Collaborate with healthcare teams to ensure compliance and conduct OASIS reviews in a dynami...
2 weeks ago
Clinical Reimbursement / MDS Director
$80K - $95K *
Unlock potential by leading MDS operations. Drive compliance and coordination across departments while nurturing your team in a vibrant healthcare environment dedicated to exceptional patient care...
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Clinical Epic Credentialed Trainer
$75K - $112K *
Support healthcare teams by delivering Epic training and optimization strategies, ensuring users maximize system efficiency and documentation accuracy while partnering with analysts for seamless imple...
2 weeks ago
$95K - $115K *
Join a team that's dedicated to creating clear and effective technical documentation for software development. This role involves collaboration with engineering and compliance teams, ensuring quality...
Reposted 1 week ago
$67K - $134K *
Join a dynamic team as you oversee certified coders, ensuring quality, productivity, and compliance. Drive operational excellence, mentor staff, and enhance coding standards while supporting continuou...
Reposted 3 weeks ago
Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR
$73K - $107K *
Deliver expert coding analysis and compliance for specialty services, ensuring accuracy in medical billing and reimbursement. Collaborate with clinical partners and lead efforts to mentor coding staff...
Reposted 4 weeks ago
Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR
$73K - $107K *
Join the team and enhance coding accuracy for healthcare services. You'll analyze procedures, ensure compliance, and guide contract coders while maintaining strong relationships with clinical partners...
Reposted 4 weeks ago
Assistant Director of Nursing - Emergency Department
$102K - $196K *
Join a team that leads nursing excellence and fosters quality care delivery. Supervise daily operations, enhance patient experiences, and champion staff development while ensuring regulatory complianc...
4 weeks ago
CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
$110K - $115K *
Transform the healthcare experience for older adults by conducting detailed assessments, identifying care needs, and connecting them with vital services to enhance their health and independence in the...
Reposted 1 week ago
CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
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Champion the journey of older adults by conducting in-home clinical assessments, determining care needs, and supporting health independence through collaborative service planning and execution in Broo...
Reposted 1 week ago
CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
$110K - $115K *
Lead the charge in enhancing healthcare for older adults by conducting comprehensive assessments and developing personalized care plans. Make a significant impact on participant health and independenc...
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CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
$110K - $115K *
Champion quality care by conducting clinical assessments that determine participant eligibility and needs, connecting individuals to vital healthcare services, and ensuring compliance with industry st...
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CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
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Transform lives by conducting thorough assessments to determine healthcare eligibility and connect individuals with essential services. Collaborate across teams to enhance participant journeys while e...
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CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
$110K - $115K *
Unlock the potential of community-based care by conducting in-depth clinical assessments. Collaborate with healthcare teams to develop individualized care plans, ensuring participants receive the supp...
1 week ago
CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
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Develop comprehensive clinical assessments and service plans for older adults, ensuring their independence while collaborating with healthcare teams. Utilize your expertise to enhance care delivery an...
1 week ago
Sr Clinical Lead, Chronic Disease Management & Preventive Care
$130K - $165K *
Shape innovative health care solutions as a Senior Clinical Lead to enhance primary care quality and chronic disease management, leveraging extensive clinical experience to guide national strategies a...
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Clinical Quality Program Manager
$85K - $100K *
Develop and oversee quality improvement initiatives to ensure compliance with Accreditation standards. Collaborate with cross-functional teams to enhance healthcare quality and performance while drivi...
Today
Clinical Quality Program Manager
$85K - $100K *
Join a team that's leading quality improvement initiatives, ensuring compliance with Accreditation standards while driving continuous quality enhancement for healthcare programs across multiple states...
Today
Clinical Quality Program Manager
$85K - $100K *
Engage in quality improvement initiatives, overseeing Accreditation readiness for healthcare programs. Collaborate cross-functionally to enhance compliance, drive performance, and elevate care standar...
Today
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.