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.
$90K - $120K *
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5 days ago
$90K - $120K *
Direct and oversee clinical services, ensuring effective care delivery, policy development, and staff supervision. Collaborate with leadership on strategic planning and foster community relations to e...
3 weeks ago
Clinical Informatics Specialist
$100K - $130K *
Drive the improvement of AI clinical applications as a key subject matter expert, ensuring product alignment with pharmacy practices through data evaluation, annotation, and rigorous testing, while co...
3 weeks ago
Clinical Informatics Specialist
$90K - $130K *
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3 weeks ago
DRG Coding Auditor - MS-DRG and APR-DRG
$92K - $160K *
Analyze medical records and audit inpatient claims to ensure accurate DRG coding, combining expertise in ICD-10 and clinical guidelines while providing actionable recommendations to enhance recovery a...
Reposted today
DRG Coding Auditor - MS-DRG and APR-DRG
$92K - $160K *
Pioneer excellence in auditing inpatient medical records, ensuring high-quality claims recovery across all business lines—utilizing expert coding knowledge and clinical guidelines to drive accurate DR...
Reposted today
DRG Coding Auditor - MS-DRG and APR-DRG
$92K - $160K *
Join our team to audit and analyze DRG coding for inpatient medical records, ensuring accuracy and high-quality claims recovery across diverse clients while leveraging your coding expertise in a flexi...
Reposted today
DRG Coding Auditor - MS-DRG and APR-DRG
$92K - $160K *
Partner with us to audit inpatient medical records for recoverable claims, utilizing your ICD-10 expertise and clinical guidelines. Impact our operations through accurate DRG assignment and innovative...
Reposted today
DRG Coding Auditor - MS-DRG and APR-DRG
$92K - $160K *
Help us ensure the accuracy of inpatient coding and auditing for optimal claims recovery. You'll leverage clinical expertise, analyze medical records, and implement efficiency improvements to enhance...
Reposted today
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$74K - $95K *
Lead clinical management operations in a dialysis unit while supervising nursing staff to ensure safe and effective patient care, adhering to regulatory standards and organizational policies...
2 weeks ago
DRG Coding Auditor - MS-DRG and APR-DRG
$92K - $160K *
Unlock potential by conducting thorough audits of inpatient medical records, ensuring accuracy in DRG coding. This vital role emphasizes clinical review, quality assurance, and the identification of r...
Reposted today
Associate Director of Inpatient Coding (CCS, RHIT, or RHIA cert required) - REMOTE
$100K - $120K *
Pioneer quality standards and operational efficiency across codingspecialties. Lead diverse teams, analyze procedures, and developstrategies to enhance performance while maintaining regulatory complia...
Reposted 1 week ago
Documentation Education Specialist IV - Remote must live in Washington or Idaho
$91K - $117K *
Provide comprehensive training solutions to enhance coding accuracy and compliance. Collaborate cross-functionally to develop educational materials, implement curriculum, and maintain high standards i...
4 days ago
Clinical Content Specialist, Conference Business (CC Nursing)
$123K - $154K *
Drive impactful clinical education by leading initiatives, developing quality nursing content, and collaborating with experts. Ensure integrity, oversee projects, and enhance outcomes in acute and cri...
3 weeks ago
Assistant Director of Nursing (RN) 4C
$102K - $196K *
Transform patient care by leading a nursing team, promoting high-quality, evidence-based practices. Manage operational efficiencies and inspire staff while ensuring compliance with regulations and fos...
Reposted 4 days ago
$93K - $222K *
Lead the charge in delivering high-quality nursing care while supervising clinical operations. Collaborate with the nursing leadership team to ensure regulatory compliance and foster a supportive envi...
3 weeks ago
$93K - $222K *
Transform patient care by leading nursing teams to deliver top-quality, evidence-based nursing services. Collaborate effectively across departments to optimize care delivery and enhance operational st...
3 weeks ago
$92K - $139K *
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Reposted 2 days ago
$78K - $85K *
Engage and coordinate complex health care needs by developing and implementing holistic care plans, collaborating with members and their care teams to enhance quality of care and reduce preventable ho...
2 weeks ago
Registered Nurse - HCC/RAF Coding Specialist
$89K - $121K *
Lead comprehensive medical record reviews by accurately coding ICD-10-CM diagnoses. Collaborate with clinical teams to enhance documentation quality and support Medicare Risk Adjustment initiatives, i...
3 weeks ago
Clinical Reimbursement Coordinator
$93K - $97K *
Transform healthcare by managing MDS assessments to ensure optimal reimbursement and support clinical staff. Lead efforts to educate on MDS/RUGs while enhancing organizational efficiency and complianc...
2 weeks 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.