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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$100K - $130K *

Oversee the delivery of recovery-oriented behavioral health services, ensuring high-quality care and compliance. Lead interdisciplinary teams, enhance operational efficiency, and foster a culture of c...

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$91K - $114K *

Take ownership of customer success by leading HME/DME software implementations. Collaborate with clients to deliver tailored training and ensure smooth transitions to live operations. Seek continuous...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Unlock potential in patient care by performing advanced diagnostic ultrasound and vascular exams. Join a dedicated team committed to clinical excellence and professional development within a specializ...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Oversee the administrative and operational functions of physician practices, ensuring efficient operations, staff management, and patient satisfaction through strategic planning and daily oversight...

4 weeks ago

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

$67K - $125K *

Lead the charge in coordinating healthcare quality initiatives, data management, and regulatory compliance. Collaborate with clinical teams to enhance medical staff performance and streamline document...

Today

  •   Less than 5 years exp.  •   Healthcare

$72K - $130K *

Develop and manage advanced imaging services, ensuring optimal workflow and departmental protocols. Lead a team of technologists, coordinate schedules, and maintain quality standards in MR and CT imag...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$140K - $170K *

Deliver exceptional leadership in accreditation and delegation oversight by ensuring compliance with NCQA standards, fostering a culture of quality improvement, and collaborating across functions to m...

4 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$82K - $97K *

Partner with us to deliver exceptional patient care as a vital member of our primary care team. Provide direct support through assessments, treatments, and health education while participating in qual...

Ottawa, ONIn-Person

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Elevate patient care by coordinating health services, evaluating outcomes, and advancing nursing practices. Collaborate within a multidisciplinary team to develop personalized care plans and ensure op...

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Lead the charge in comprehensive assessments and high-quality care for individuals facing mental health and substance abuse challenges. Collaborate with multidisciplinary teams to ensure effective tre...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$207K - $346K *

Lead evidence-based medical case reviews and provider consultations, leveraging your clinical expertise to ensure proper care. Collaborate with a network of physicians while enjoying a structured remo...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Champion efficient rehab operations and implement programs to enhance patient recovery. Oversee team performance while mentoring staff to ensure optimal outcomes in a supportive environment, driving e...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$109K - $149K *

Join a team that drives impactful process improvements with a focus on cost reduction and efficiency. Collaborate with leaders across divisions to deliver data-driven solutions that enhance operations...

US-AnywhereRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$93K - $124K *

Shape the future of home dialysis care by coordinating patient treatments and collaborating with medical teams. Ensure exemplary patient support and maintain operational efficiency to create a positiv...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $104K *

Engage in managing the home dialysis program, ensuring optimal patient care and collaboration with medical teams. Oversee training, monitor supplies, and maintain records while delivering educational...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Drive quality care coordination and provider/member appeals, leveraging clinical expertise. Collaborate with various teams while adapting to dynamic environments, ensuring compliance with healthcare r...

US-AnywhereRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Shape the future of patient care by leading complex inpatient case management. Take charge of coordination, quality assurance, and team collaboration in a dynamic hospital environment, ensuring except...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $115K *

Drive clinical excellence and operational efficiency by overseeing the Behavioral Health Therapy team, fostering staff development, and ensuring high-quality, patient-centered care while collaborating...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $105K *

Lead the development and optimization of clinical workflows within electronic health records. Collaborate with teams to enhance operational efficiency and improve patient care quality through thorough...

US-AnywhereRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $112K *

Drive the development and maintenance of robust data pipelines to enable data-driven decision-making. Collaborate cross-functionally to ensure data integrity and quality, improving organizational repo...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Information Technology

$95K - $112K *

Innovate robust data pipelines and collaborate with cross-functional teams to enhance data accessibility and quality. Drive data governance and model efficient systems, empowering data-driven decision...

5 days ago

  •   Less than 5 years exp.  •   Information Technology

$120K - $150K *

Join a team that's driving data transformation by leading governance initiatives and analytics, ensuring actionable insights across all business areas to foster a data-driven culture and enhance decis...

Reposted 5 days ago

  •   8 - 10 years exp.  •   Healthcare

$75K - $95K *

Advance community stroke programs by leading certification efforts, educating staff, and enhancing patient care quality. Collaborate across multidisciplinary teams to improve stroke services, facilita...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Play a key role in ensuring exceptional patient care by providing leadership and support to nursing staff during shifts. Collaborate with multidisciplinary teams to enhance patient outcomes and stream...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Lead the charge in improving patient and staff safety through strategic initiatives, project management, and cross-functional collaboration. Oversee day-to-day operations while fostering a culture of...

Reposted 2 weeks 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.