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.
Director Clinical Systems Engineering
$110K - $130K *
Champion seamless integration and functionality of clinical systems to drive quality, compliance, and operational efficiency. Collaborate across teams to translate clinical needs into technical specif...
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Director Clinical Systems Engineering
$110K - $130K *
Elevate your career by leading clinical systems engineering projects. Collaborate across teams to shape functional specifications, oversee data integration, and drive effective EHR migrations while en...
2 weeks ago
Director Clinical Systems Engineering
$110K - $130K *
Shape the future of clinical systems engineering by leading requirements elicitation and driving data integration efforts. Collaborate across departments to ensure operational success and maintain com...
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Director Clinical Systems Engineering
$110K - $130K *
Unlock potential by leading clinical systems engineering initiatives to enhance operational efficiency and data management across healthcare applications, while guiding a team and engaging key stakeho...
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$83K - $115K *
Provide comprehensive patient care and collaborate with healthcare teams to ensure safety and quality standards are met, utilizing nursing processes that adhere to professional guidelines and ethical...
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$85K - $102K *
Manage and lead a clinical team in a home health setting, focusing on compliance, patient outcomes, and staff development while maintaining an optimal work-life balance in a supportive environment...
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SR. DIRECTOR OF PAYOR CONTRACTING, BILLING AND COLLECTIONS
$125K - $150K *
Accelerate progress at optimizing revenue capture and compliance through effective contract negotiations and management. Lead billing and collections strategies, enhancing operational efficiency acros...
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$80K - $115K *
Lead the delivery of high-quality cardiac ultrasound services, providing patient care in a dynamic team focused on professional growth. Execute advanced imaging and assist in procedural environments...
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Nurse Practitioner OR Physician Assistant-Certified (Express Care/Urgent Care)
$150K - $168K *
Manage comprehensive primary care services in a dynamic urgent care setting. Collaborate with multidisciplinary teams to ensure high-quality care for diverse patient populations while upholding best p...
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Director of Subspecialty services
$120K - $150K *
Transform clinical operations across states by guiding service design, aligning strategy, and fostering provider development. Collaborate with teams to ensure quality and compliance in specialty care...
Today
Patient Safety & Quality Consultant Sr
$83K - $128K *
Lead the charge in enhancing patient safety and quality through strategic planning, project management, and data-driven initiatives, fostering collaboration among healthcare leaders to achieve clinica...
Reposted 3 days ago
$80K - $95K *
Champion exceptional patient care by leading clinical staff in an ambulatory setting. Drive quality initiatives, enhance workflows, and mentor new team members while collaborating with an interprofess...
2 weeks ago
$80K - $95K *
Champion patient care as a lead clinician, supervising staff, improving workflows, and enhancing clinical effectiveness in an ambulatory healthcare setting. Collaborate with the team to ensure quality...
3 weeks ago
$79K - $81K *
Take ownership of nursing operations, supervise staff, and enhance resident care. Collaborate with a supportive team to ensure compliance with regulations and the delivery of high-quality healthcare s...
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$90K - $110K *
Engage in a dynamic healthcare environment, providing essential emergency and hospitalist care while collaborating with diverse medical specialties to enhance patient outcomes and operational efficien...
1 week ago
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Unlock potential by leading a nursing team to provide exceptional patient care. Oversee direct and indirect nursing services, ensuring optimal health outcomes and fostering a patient-centered environm...
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Shape the future of senior care by overseeing clinical services and ensuring quality care delivery in a dynamic healthcare environment, while leading strategic initiatives and fostering compliance wit...
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Join a team that's committed to enhancing nursing education and development in the Emergency Department. Drive initiatives, shape competencies, and foster professional growth while mentoring staff in...
Yesterday
Asst Director Patient Care - Perioperative Support Services
$125K - $162K *
Transform patient care by managing daily operations in the perioperative environment. Collaborate with leadership to ensure optimal performance, enhance patient flow, and maintain effective communicat...
2 weeks ago
Complex Care Manager RN, Full Time
$89K - $130K *
Empower patient outcomes by leading care management initiatives, collaborating with healthcare teams to design personalized care plans, and enhancing patient engagement in a dynamic, hybrid healthcare...
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Complex Care Manager RN, Full Time
$89K - $130K *
Elevate patient care by managing complex health needs and enhancing engagement. Join a multidisciplinary team dedicated to reducing health costs and improving outcomes for vulnerable populations throu...
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Registered Nurse (RN) - Inpatient Dialysis
$80K - $107K *
Join a team that's dedicated to delivering exceptional patient care through specialized hemodialysis services. You will assess patients, collaborate with interdisciplinary teams, and deliver tailored...
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Join a team that plays a key role in advancing precision medicine through the integration and interpretation of complex genomic data. Collaborate to optimize workflows and enhance clinical decision-ma...
6 days ago
Medical Records Administrator - Chief of Health Information Management
$80K - $95K *
Explore a pivotal leadership role overseeing comprehensive health information management. Ensure compliance with national standards while optimizing records systems to support effective patient care a...
4 days ago
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.