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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$90K - $120K *

Engineer commissioning excellence by overseeing diverse projects, guiding clients through comprehensive processes while ensuring technical quality and effective communication in a dynamic remote role...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K *

Shape the future of dialysis care by managing a facility and supervising nursing staff to ensure safe, effective treatments. Collaborate with multidisciplinary teams to enhance patient outcomes while...

2 weeks ago

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

$70K - $95K *

Transform clinical environments by providing robust support, configuration, maintenance, and training of multi-user clinical systems while ensuring seamless user experience and workflow enhancements t...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Elevate care standards by managing, mentoring, and monitoring patient services to enhance home health delivery across multiple locations, ensuring compliance and efficiency for optimal patient outcome...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Empower healthcare delivery through expert analysis and integration of Epic Inpatient systems and WestCom Nurse Call support. Collaborate with clinical teams to enhance workflows, optimize documentati...

5 days ago

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$90K - $130K *

Contribute to AI model training and product development by leveraging clinical expertise. Collaborate with cross-functional teams to ensure accuracy in pharmacy-focused tools, enhancing healthcare pra...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

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

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

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

$92K - $139K *

Transform healthcare delivery by bridging clinical needs with technology. As a Clinical Informaticist, you will analyze workflows, support EHR implementations, and empower clinical teams with innovati...

Reposted 2 days ago

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   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.