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.
Senior Technical Writer – Clinical Decision Support
$60K - $106K *
Join a team that's dedicated to creating clear, user-friendly technical documentation for healthcare technology. Collaborate with cross-functional teams to drive accuracy and improve customer engageme...
1 week ago
Senior Technical Writer – Clinical Decision Support
$60K - $106K *
Lead the charge in crafting comprehensive technical documentation for customer-facing products, ensuring clarity and usability. Collaborate with cross-functional teams to deliver high-quality material...
1 week ago
Senior Technical Writer – Clinical Decision Support
$60K - $106K *
Drive the creation of comprehensive technical documentation for healthcare solutions. Collaborate across teams to enhance user understanding, streamline processes, and ensure high-quality customer-fac...
1 week 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...
6 days ago
Rehab Director / PT / PTA / SLP-CCC
$75K - $95K *
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...
2 weeks ago
$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...
2 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...
Yesterday
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...
4 days 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
$92K - $129K *
Unlock your potential by leading CMS encounter implementations, guiding project teams from requirements to go-live. Collaborate with cross-functional teams to ensure compliance and drive operational s...
3 weeks ago
$120K - $130K *
Manage custom power distribution projects from inception to delivery, ensuring cross-functional collaboration and customer satisfaction through effective scheduling and execution within a dynamic manu...
1 week 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 today
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
Clinical Nurse Coordinator Emergency Room
$75K - $95K *
Reimagine patient care as you lead nursing teams, ensuring quality coordination, efficient operations, and a patient-first philosophy through effective management strategies and collaboration with hea...
1 month 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...
Yesterday
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...
1 week 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...
Today
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...
Today
Supervisor-RN Clinical Quality Liaison
$75K - $95K *
Transform healthcare outcomes by leading quality initiatives and clinical teams focused on risk adjustment and performance improvement. Utilize your expertise to drive change in clinical practices, en...
3 weeks 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
PRAC Certified Registered Nurse Practitioner
$85K - $144K *
Take ownership of comprehensive patient care as a nurse practitioner, collaborating in both inpatient and outpatient settings. Engage in evaluations, procedures, and treatments while supporting a mult...
3 weeks 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...
1 week 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...
1 week 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...
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.