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.
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
Registered Nurse (RN) Dialysis Modality Educator
$87K - $110K *
Shape the future of patient care as a Dialysis Modality Educator, leading home dialysis programs. Collaborate with interdisciplinary teams, ensure quality standards, and empower patients through train...
Reposted 1 week 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
Supervisor, Revenue Cycle and Coding Specialist
$75K - $95K *
Advance revenue cycle performance by leading coding quality initiatives, enhancing provider education, improving documentation, and ensuring compliance. Collaborate with clinical, operational, and cod...
2 weeks ago
$81K - $89K *
Join a team that's dedicated to providing essential clinical support services. Collaborate with a multidisciplinary team to enhance tenants' mental health and well-being, ensuring successful housing r...
3 days ago
$99K - $152K *
Join a team that inspires excellence in nursing by overseeing clinical and administrative operations, ensuring quality patient care, and fostering a collaborative environment for continuous improvemen...
2 days ago
Accreditation Program Specialist
$103K - $140K *
Lead and drive cross-functional projects related to Health Plan Accreditation, serving as a subject matter expert. Collaborate with stakeholders to ensure compliance and develop strategies, addressing...
6 days ago
Accreditation Program Specialist
$103K - $140K *
Empower accreditation success by leading cross-functional projects for Health Plan Accreditation and oversight. Develop strategic compliance solutions, build relationships with stakeholders, and ensur...
6 days ago
Assistant Director of Clinical Services - HomeCare
$75K - $95K *
Manage and inspire home health services delivery while ensuring compliance and quality standards. Collaborate with clinical staff to assess, implement, and evaluate patient care plans, enhancing opera...
2 weeks ago
Assistant Director of Clinical Services - HomeCare
$90K - $120K *
Shape the future of clinical services by enhancing patient care and compliance through effective management, team guidance, and operational excellence in home health organizations...
2 weeks ago
Clinical Informatics Specialist 4
$110K - $246K *
Join a dynamic team to leverage data in advancing medication safety and healthcare outcomes through research. You will manage complex datasets and collaborate with experts to shape healthcare decision...
1 week ago
Dialysis Clinical Nurse Manager, In-Center
$83K - $108K *
Shape the future of dialysis care by overseeing facility operations and nursing staff, ensuring efficient treatments and compliance with quality standards to enhance patient care and outcomes...
3 weeks ago
$85K - $95K *
Advance your career as you coordinate and ensure the timely completion of MDS assessments, playing a vital role in regulatory compliance and enhancing care standards in skilled nursing facilities...
1 week ago
$85K - $95K *
Lead the charge in coordinating timely and accurate MDS completion while adhering to regulatory standards and enhancing care practices in a skilled nursing environment. Collaborate with healthcare tea...
1 week ago
Manager Coding and Clinical Documentation Improvement
$90K - $120K *
Join a team that's dedicated to enhancing clinical documentation integrity by driving initiatives that ensure compliance, improve provider engagement, and optimize workflows for quality patient care a...
4 weeks ago
Manager Coding and Clinical Documentation Improvement
$85K - $110K *
Elevate the Clinical Documentation Integrity program by driving strategic initiatives, enhancing accuracy, and fostering collaborative workflows, ensuring compliance while improving patient care and r...
1 month ago
$66K - $101K *
Join a team that's dedicated to enhancing recovery for injured workers by providing vital medical case management. Collaborate with healthcare professionals and families to evaluate and implement effe...
3 days ago
$120K - $238K *
Optimize enterprise case management strategies across health plans, enhancing care management operations, fostering regulatory compliance, and driving quality improvements within a collaborative clini...
Reposted 2 weeks ago
CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
$110K - $115K *
Transform the lives of older adults by conducting assessments to identify their care needs and connect them with essential services for a healthier, independent living experience. Join us in making a...
4 days ago
CLINICAL ASSESSMENT MANAGER - CARE DELIVERY
$110K - $115K *
Join a dynamic team to conduct comprehensive assessments and identify care needs of older adults. Utilize clinical expertise to connect participants to vital services, enhancing their health and indep...
4 days ago
Assistant Director of Nursing (RN) C6-1
$102K - $196K *
Join us in empowering quality patient care as you lead nursing staff, facilitate transitions, and foster interdisciplinary collaboration. Drive operational excellence and advocacy for patient safety s...
3 days ago
EHR Senior Application Analyst (ClinDoc)
$94K - $137K *
Shape the future of healthcare by designing and optimizing EHR systems. This role demands expertise in Epic applications, leading implementation efforts through collaboration, support, and independent...
Reposted 1 week ago
Content Analyst II - Drug and Biological Policy
$100K - $135K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
Reposted 3 days ago
$70K - $106K *
Contribute to the development and management of clinical training materials, ensuring alignment with policies and accreditation standards while fostering cross-departmental collaboration and enhancing...
4 weeks ago
Denials Management Analyst (Anesthesia)
$66K - $100K *
Analyze denials data and drive improvement initiatives in a dynamic healthcare setting. You will track trends, coordinate audit activities, and facilitate effective communication to enhance claims pro...
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.