Clinical Documentation Specialist Jobs

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.

Job Description and Duties

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.

Career Opportunities

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.

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$108K - $156K *

Lead the execution of complex, strategic programs by managing all project aspects, ensuring timely delivery, fostering client relationships, and driving continuous improvement to enhance service quali...

Reposted 2 days ago

  •   8 - 10 years exp.  •   Healthcare

$70K - $116K *

Analyze denial data trends to optimize compliance within healthcare registration processes, collaborating with leadership to develop workflow solutions and enhance data integrity across the organizati...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$111K - $156K *

Champion a patient-centered rehab environment, providing OT, PT, or SLP services while ensuring operational excellence and clinical collaboration across diverse settings. Supervise staff and drive pro...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$69K - $99K *

Coordinate clinical care across multiple clinics to enhance patient outcomes and staff satisfaction. Serve as a resource for decision-making, problem-solving, and ensure compliance with clinical polic...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Manage and innovate health information systems, ensuring compliance and integrity of patient records while supporting safety and accreditation in a behavioral health setting...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $110K *

Join a leading team as a technical expert, streamlining HR processes and ensuring seamless application integration. Collaborate across functions to translate business needs into effective system enhan...

3 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$80K - $95K *

Shape nursing excellence and development by collaborating with leadership to enhance educational programs and competencies, driving a culture of continuous learning and orientation for nursing staff a...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Lead HIM initiatives, ensuring compliance with regulations, managing staff training, and utilizing analytics for quality improvement while effectively handling budgets and operational processes...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $105K *

Join a dedicated team as a Multi-Line Claim Supervisor overseeing commercial auto and trucking liability claims. Lead a group of adjusters while ensuring exceptional claim management and compliance ac...

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$85K - $105K *

Deliver exceptional leadership by managing a team of adjusters in handling commercial auto and trucking liability claims. Ensure operational excellence, compliance, and superior client service while f...

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$85K - $105K *

Lead the charge in providing technical oversight and support to a team of claims adjusters managing complex commercial auto and trucking liability claims, ensuring compliance and cultivating client re...

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$85K - $105K *

Join a team that champions claims excellence by leading 5–6 adjusters in managing complex commercial auto and trucking liability claims while ensuring compliance and fostering client relationships for...

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$150K - $180K *

Join a mission-driven team to lead compliance efforts, ensuring regulatory excellence while fostering a culture of integrity and continuous improvement across healthcare settings...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$69K - $99K *

Lead the charge in optimizing clinical care across multiple clinics, ensuring patient safety, satisfaction, and quality outcomes while collaborating effectively with healthcare staff and managing dail...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Lead the charge in optimizing RVU-based compensation and reimbursement processes. Analyze data, present findings, and enhance provider relations while ensuring compliance with regulations across DHR H...

2 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$104K - $114K *

Empower patients by delivering high-quality home care, conducting assessments, and collaborating with families to develop tailored care plans while evaluating needs for continuous improvement and reco...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$122K - $124K *

Lead the assessment and care planning process for patients, ensuring personalized home care. Collaborate with families while adapting care strategies to meet evolving healthcare needs. Drive improveme...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Take ownership of patient safety by leading clinical response as a Clinical Practice Supervisor, utilizing critical care expertise to guide teams in early intervention, mentorship, and quality improve...

5 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Oversee clinical programs by leading multi-disciplinary teams, enhancing communication, and ensuring optimal resource use to achieve productivity and financial goals, fostering staff engagement and ac...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$82K - $170K *

Elevate your career by supervising Utilization Management operations, ensuring compliance with standards while developing a high-performing team. Collaborate to enhance efficiency and contribute to me...

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$64K - $102K *

Empower patient safety through risk identification, process improvement, and collaboration with clinical leaders. Join us in fostering a culture that prioritizes safety and improves healthcare practic...

Reposted 3 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Join a team that's dedicated to enhancing patient care through effective utilization reviews, overseeing a critical department while collaborating with healthcare professionals and insurers to ensure...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $130K *

The Director of Quality and Performance Improvement at CarePoint Health is responsible for leading and directing quality improvement activities to enhance patient care and operational efficiency. This...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$95K - $115K *

Deliver high-quality patient care through in-home and telehealth visits, ensuring effective collaboration and management of chronic conditions while improving outcomes and patient satisfaction in a co...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Elevate patient care by conducting in-home and telehealth visits, improving outcomes and fostering collaboration. This role promotes value-based healthcare through quality and compassion, ensuring exc...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Clinical Documentation Specialist?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    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.