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 Compliance Audit & Education Specialist
$75K - $95K *
Optimize coding compliance by auditing records across specialties. Collaborate with physicians to report findings, enhance understanding of guidelines, and ensure adherence to best practices in docume...
4 weeks ago
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Innovate within healthcare by managing and modernizing the Cerner Ambulatory Application. Collaborate with diverse teams to optimize workflows and implement best practices, ensuring effective design...
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RN Case Manager - ED Observation Unit - Full time - Weekends
$76K - $115K *
Pioneer a pivotal role in patient case management! Utilize your clinical expertise to enhance care coordination, optimize resource utilization, and lead interdisciplinary teams in achieving optimal he...
4 weeks ago
$100K - $130K *
Join a team that values precision and care in dispensing medications, overseeing pharmacy operations, and providing essential patient consultations while ensuring compliance with regulatory standards...
2 weeks ago
Supervisor Strategic Risk Adjustment and Quality
$86K - $138K *
Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...
Reposted 3 days ago
Director of Clinical Informatics
$106K - $159K *
Join a team that's shaping the future of Clinical Informatics by leading EHR projects, enhancing workflow, and collaborating with healthcare leaders to drive quality outcomes and optimize patient care...
Reposted 3 weeks ago
Cardiac Cath Lab Clinical Supervisor
$85K - $100K *
Grow with us as a Clinical Supervisor, leading nursing operations, ensuring quality patient care, and collaborating within a dynamic team to enhance unit performance and support staff development...
Reposted 4 days ago
$80K - $95K *
Drive operational excellence at a community clinic, ensuring top-tier patient care while managing financial performance and fostering a positive team environment. Engage with veterans and collaborate...
2 days ago
$80K - $95K *
Join a team that aims to enhance healthcare delivery while overseeing operations at a community clinic. Drive revenue growth, ensure clinical quality, and foster a collaborative environment to support...
1 week ago
$80K - $95K *
Join a team that's enhancing healthcare through EHR optimization, driving quality initiatives, and ensuring compliance. Collaborate with diverse stakeholders to improve clinical workflows and support...
6 days ago
Director of Quality & Risk Management
$125K *
Engage in strategic leadership of quality assurance and risk management programs, ensuring compliance while driving excellence in resident care and safety through coordinated initiatives, metrics, and...
1 week ago
Nurse Professional Development Coordinator - Surgical Services - Southside Regional Medical Center
$80K - $128K *
Shape the future of nursing education by implementing innovative programs, fostering professional development, and enhancing clinical skills across departments to align with strategic healthcare goals...
1 week ago
Nurse Professional Development Coordinator - Surgical Services - Southside Regional Medical Center
$80K - $128K *
Shape educational excellence in nursing by developing, implementing, and evaluating professional development programs. Collaborate with leadership to enhance nursing practices, supporting Magnet desig...
1 week ago
Registered Nurse (RN) - Quality and Safety Specialist
$75K - $90K *
Lead the charge in enhancing quality and safety systems through data analysis, innovation, and strategic consulting to improve patient care outcomes while collaborating across clinical teams and regul...
1 week ago
Senior Clinical Quality Auditor - Behavioral Health
$72K - $130K *
Inspire quality improvement and enhance patient outcomes through thorough audits and data analysis, providing actionable feedback to behavioral health providers while collaborating in effective projec...
Reposted 2 weeks ago
Registered Nurse (RN) - Preventive Cardiology
$75K - $90K *
Champion patient care by delivering skilled nursing services in diverse clinical settings. Utilize nursing processes for assessment, planning, intervention, and evaluation of patient needs to ensure o...
1 week ago
$63K - $98K *
Lead the charge in advancing pre-hospital clinical care and operational excellence, ensuring high-quality EMS services through collaboration, continuous improvement, and effective education for provid...
1 week ago
RN, Clinical Supervisor CSV - Acute Oncology
$75K - $95K *
Manage clinical operations and nursing leadership, ensuring patient safety and quality care through effective team collaboration and resource allocation. Empower staff development while fostering a po...
Reposted 2 weeks ago
RN, Clinical Supervisor CSV - Acute Oncology
$75K - $95K *
Drive nursing excellence by leading clinical operations, ensuring patient safety, and fostering teamwork. Utilize strong leadership and resource management skills to maintain high-quality care in a dy...
Reposted 2 weeks ago
$90K - $120K *
Empower the nursing teams as a Director of Nursing, overseeing ED operations, enhancing patient care quality, and nurturing staff development while collaborating with physicians and ensuring regulator...
3 weeks ago
$100K - $130K *
Drive the implementation of best-in-class risk management and patient safety strategies. Collaborate cross-functionally to foster a culture of compliance and quality improvement while ensuring regulat...
4 weeks ago
Manager - Epic Inpatient Clinical Applications
$95K - $115K *
Drive optimal performance of Epic inpatient clinical applications by leading a team, ensuring system efficiency, and aligning technology with clinical workflows and regulatory standards in a dynamic h...
1 week ago
$75K - $95K *
Champion impactful healthcare delivery by overseeing compliance and quality control. Lead interdisciplinary teams, manage resources, and drive operational efficiency while enhancing patient care withi...
Reposted 2 weeks ago
Children's Behavior Health Eligibility Specialist
$66K - $99K *
Unlock potential by determining eligibility and service options for children facing complex behavioral health challenges. Collaborate with families and stakeholders to ensure access to vital support a...
1 week ago
Director, Data Governance & Compliance
$143K - $273K *
Lead the charge in enterprise data governance initiatives, establishing sustainable practices for data stewardship and quality. Collaborate with stakeholders to translate complex requirements into act...
Yesterday
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.