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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$95K - $115K *

Join a team that's dedicated to delivering exceptional healthcare to US Veterans. As a Nurse Practitioner, your expertise will play a vital role in providing the highest standards of care, ensuring ou...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Champion excellence by overseeing the Cardio Pulmonary department, ensuring optimal staff performance and patient care, while developing budgets and educating staff on equipment and procedures. Make a...

5 days ago

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

$108K - $196K *

Unlock potential by leading clinical audits and quality initiatives in a dynamic healthcare environment. Drive compliance and quality reporting, while collaborating with teams to enhance processes and...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$108K - $196K *

Engage in clinical audits and quality assessments for Prior Authorization and Appeals staff. Develop reporting processes, analyze compliance, and enhance quality assurance aligned with regulatory stan...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $104K *

Join a dedicated team providing specialized nephrology nursing care to patients. Enhance patient health through comprehensive assessments, education, and collaboration with multidisciplinary teams in...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$79K - $83K *

Advance patient care by coordinating services and developing care plans. Support families with skilled nursing and ensure quality outcomes. Participate in team initiatives to enhance patient experienc...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Transform outpatient services by leading a dedicated team to create effective mental health programs that meet community needs while ensuring high standards of quality and fiscal responsibility...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Take ownership of eCOA design and implementation, ensuring effective data collection systems align with study objectives while leading cross-functional projects to enhance clinical trial outcomes...

4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Join a dynamic team to pioneer enterprise data governance strategies, ensuring data integrity and security across the organization. Drive initiatives that enhance patient care, compliance, and informe...

US-AnywhereRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Drive the organization’s enterprise data governance program, ensuring data integrity, security, and compliance. Partner with stakeholders to implement governance frameworks that enhance patient care a...

Reposted 4 days ago

  •   5 - 7 years exp.  •   Healthcare

$105K - $175K *

Champion seamless patient transitions by assessing needs, educating families, and collaborating with healthcare partners. Leverage sales techniques to enhance service awareness and grow referral relat...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$80K - $90K *

Develop scalable credentialing processes for provider onboarding and payer relations. This hands-on role ensures compliance and optimizes operations, driving efficiency in a dynamic healthcare environ...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$69K - $110K *

Join a team that's dedicated to improving maternal and child health outcomes. This role involves home-based case management, client education, and collaboration with a multidisciplinary team to enhanc...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$99K *

Drive the implementation of a comprehensive compliance program, conducting audits, managing investigations, and ensuring adherence to legal and regulatory standards while collaborating across departme...

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$98K - $135K *

Transform nursing education by leading program development and compliance. Collaborate to ensure high standards for student success and accreditation, while enhancing clinical partnerships and curricu...

2 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$75K - $120K *

Provide clinical and operational leadership for ambulatory staff, ensuring effective patient care and collaboration among teams, while managing scheduling and supporting quality initiatives in a dynam...

Reposted 1 week ago

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

$90K - $110K *

Shape the future of patient care by leading a skilled nursing team. Oversee nursing operations, staff recruitment, and policy development, ensuring the highest standards of care and compliance in a su...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Create compelling narratives that unify strategy and storytelling. Lead a team, oversee brand messaging, and ensure accuracy across all communications for diverse audiences. Drive creative solutions t...

Today

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$85K - $100K *

Elevate your career with a leadership role overseeing patient care operations. As a key clinical expert, you'll guide nursing staff, ensure quality care, and resolve complex situations while promoting...

1 week ago

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

$85K - $100K *

Join a dynamic team to lead and support nursing staff, ensuring safe and efficient patient care while enhancing service quality. Collaborate with managers to foster a supportive environment and tackle...

1 week ago

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

$95K - $115K *

Lead the MDS assessment process by coordinating schedules, ensuring compliance, and supporting the interdisciplinary team with documentation and care plans. Drive quality improvement initiatives and m...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$98K - $214K *

Transform patient access operations by ensuring service reliability and quality. Oversee supervisors and coaches, aligning performance governance with strategic objectives, to enhance operational exec...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$105K - $120K *

Join our dedicated nursing leadership team, supporting clinical operations and empowering staff to deliver compassionate, high-quality resident care in a warm, professional environment focused on exce...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$161K - $212K *

Accelerate progress at delivering high-quality patient care as an RN Care Manager. Leverage your clinical expertise to coordinate complex care, support discharge planning, and work collaboratively wit...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Join a team that's dedicated to delivering exceptional patient care in a collaborative, multidisciplinary environment. Bring your expertise in clinical assessments and treatment planning to enhance ou...

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.