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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
Locations
caret down
More
1
caret down

$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

$78K - $95K *

Explore a vital role in overseeing provider credentialing processes, collaborating with internal teams to ensure compliance and maintain accurate records, while supporting audits and enhancing onboard...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$96K - $145K *

Unlock potential by leading advanced Epic system analysis and integration. Collaborate across departments to optimize healthcare workflows, mentor teams, and drive complex projects while ensuring qual...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Join a team that's enhancing healthcare through Epic applications by leading design, build, and testing for clinical systems. Collaborate with end users to implement effective solutions and support sy...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $124K *

Champion streamlined workflows and elevate Epic applications, ensuring optimal functionality and user satisfaction by managing incidents and leading impactful projects across healthcare systems...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Drive operational excellence by partnering with departments to enhance practice efficiency, boost financial performance, and elevate patient care. Engage in strategic initiatives for growth while fost...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $100K *

Take ownership of multi-line claims supervision, ensuring compliance and quality. Oversee investigations and claim adjustments while leading and developing team members for enhanced performance and cl...

Yesterday

  •   8 - 10 years exp.  •   Finance & Insurance

$105K - $125K *

Transform training effectiveness by developing and delivering comprehensive technical training programs while collaborating with subject matter experts to enhance audit productivity and client satisfa...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Drive excellence in document control operations to ensure compliance and quality. Lead a team focused on maintaining accurate, current records while supporting regulatory adherence. Collaborate cross...

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$94K - $151K *

Join a team that's committed to elevating clinical excellence in emergency nursing. In this dynamic role, you'll lead educational initiatives, mentor staff, and drive quality improvement to ensure exc...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$99K - $124K *

Unlock your potential by managing coding education programs, ensuring accurate ICD-10 coding standards. Collaborate with medical staff to optimize documentation practices within a dynamic healthcare e...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$133K - $221K *

Join our dynamic team as a hands-on DevOps Manager, leading and mentoring engineers while driving technical excellence in CI/CD, infrastructure automation, and platform stability. Collaborate cross-fu...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$89K - $161K *

Lead the assessment and management of healthcare quality and efficiency, ensuring medically appropriate care through evaluations of service necessity, policy adherence, and provider collaboration, whi...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Lead the charge in ensuring quality care through DRG clinical validation, assessing inpatient admissions and outpatient services. Collaborate with clinical teams to maintain compliance and optimize pa...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Support high-quality, cost-effective care through clinical validation, ensuring compliance with medical policies. Collaborate across teams to assess needs and facilitate transitions while leading init...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Join us in ensuring high-quality, cost-effective healthcare by leading clinical validation efforts, guiding care transitions, and enhancing medical management strategies within a multidisciplinary tea...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Join a team that's pivotal in ensuring quality healthcare by assessing medical necessity and care appropriateness. Collaborate with providers and clinical reviewers to support effective patient transi...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Optimize patient care quality by ensuring medical necessity through reviews of inpatient admissions and outpatient services, while collaborating with clinical teams and guiding members to appropriate...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Pioneer high-quality, cost-effective care through clinical validation, ensuring compliance and appropriateness of treatment. Collaborate with healthcare teams to optimize patient outcomes while leadin...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Pioneer innovative medical management strategies ensuring high-quality, cost-effective care by examining inpatient admissions and outpatient services. Collaborate with clinical teams to uphold complia...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$89K - $161K *

Join a team that's dedicated to ensuring high-quality, cost-effective healthcare by validating medical necessity for a range of services, collaborating with clinical teams, and enhancing member access...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$118K - $157K *

Lead the strategic direction of medical record audits, ensuring compliance and accuracy while overseeing a team of auditors. Drive operational excellence in audit processes to identify costs and enhan...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$118K - $157K *

Lead and enhance medical record audit operations within a compliance framework, ensuring audit accuracy and defensibility. Oversee a team, implement methodologies, and generate impactful financial out...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$76K - $127K *

Help us shape patient transitions by leveraging your sales expertise to educate and connect with patients, families, and healthcare providers, ensuring seamless placement in home health care settings...

2 days 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.