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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1
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$80K - $90K *

Join a team that's dedicated to conducting comprehensive clinical reviews, ensuring high-quality standards in utilization and quality assessments. Collaborate with healthcare professionals to enhance...

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $112K *

Shape the future of healthcare by managing Epic systems and leading IT projects. Ensure optimal performance, foster team collaboration, and deliver innovative solutions to enhance user experience and...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Elevate patient care by managing interdisciplinary plans and ensuring compliance in a dynamic academic medical setting while embracing innovation and excellence in nursing practice...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead patient-centered care as a Case Manager in a fast-paced, Magnet-recognized environment. Utilize your nursing expertise to implement comprehensive discharge plans, collaborate with teams, and enha...

Today

  •   Less than 5 years exp.  •   Healthcare

$74K - $134K *

Manage patient care from admission to discharge, ensuring quality, cost-effective outcomes. Collaborate with a multidisciplinary team to develop and coordinate individualized care plans, facilitating...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $134K *

Join a team that's dedicated to providing holistic, patient-centered care. As part of the Case Management Team, you will facilitate quality care from admission through discharge, collaborating with mu...

4 weeks ago

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

$79K - $109K *

The Clinical Informatics Specialist (CIS) focuses on enhancing clinical information systems to improve technology adoption and patient outcomes. This role involves collaboration with IT and business o...

Reposted 2 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Transform sepsis care by leading interdisciplinary teams, enhancing nursing skills, and driving evidence-based management for improved patient outcomes and quality of care...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Unlock the potential of clinical documentation as a Principal Trainer, shaping EHR training and workflows, optimizing patient care, and collaborating with technology teams to enhance operational effic...

US-AnywhereRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Champion operational excellence by streamlining medical product evaluations, collaborating across departments, and leading initiatives to enhance clinical care and technology implementation within the...

Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $157K *

Manage and oversee quality improvement efforts by leading HEDIS audits, ensuring compliance with regulations and enhancing team functions while facilitating effective communication across departments...

US-AnywhereRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead comprehensive coding education and quality assurance initiatives, driving exceptional coder performance and compliance through audits, individualized training, and collaboration with educational...

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Lead the coordination of patient care, enhancing health outcomes through effective planning, collaboration, and service access management alongside multidisciplinary teams for optimal quality care del...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Take ownership of patient care coordination by leading multidisciplinary teams, assessing patient needs, and ensuring effective communication. This role enhances care quality and optimizes health outc...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $126K *

Drive quality improvement initiatives by analyzing stakeholder needs, evaluating performance metrics, and recommending strategic solutions. Collaborate with cross-functional teams to enhance HEDIS, CA...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$89K - $142K *

Join a team that shapes exceptional patient care through nursing leadership. Drive daily operations, enhance staff engagement, and execute departmental goals to create a therapeutic environment for pa...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $130K *

Elevate coding operations by managing the compliance program, ensuring accuracy in facility billing, and enhancing productivity within a dynamic team. Drive implementation of quality strategies aligne...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$68K - $99K *

Grow your career with this vital role focusing on clinical data quality, HEDIS medical record review, and compliance. Collaborate across departments while ensuring accurate data reporting and supporti...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Empower our team by investigating, evaluating, and resolving complex medical claims, collaborating with professionals nationwide to ensure timely and effective case closures for diverse specialties...

Today

  •   5 - 7 years exp.  •   Healthcare

$75K - $113K *

Shape the future of health care by integrating technology and data to enhance patient care and operational efficiency. Collaborate across teams to create solutions that support research and improve he...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$89K - $162K *

Unlock your potential by joining a dynamic team focused on delivering exceptional patient-centered care. Leverage your RN expertise to enhance discharge planning and care coordination from admission t...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Accelerate your career by optimizing strategic clinical programs through effective coordination, collaboration, and project management across a network of practices, ultimately enhancing patient care...

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$92K - $115K *

Take ownership of advanced application support and design for Epic Beaker. Collaborate with clinical and IT teams to improve workflows and patient care. Lead implementation and optimization efforts wh...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $190K *

Pioneer exceptional resident care by leading case management and reimbursement strategies across multiple facilities, ensuring compliance and optimizing operational performance for enhanced clinical o...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$97K - $145K *

Transform healthcare quality by leveraging Epic's Healthy Planet to enhance monitoring tools and support clinical applications within a large-scale organization, ensuring effective implementation and...

US-AnywhereRemote

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.