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
More
1
caret down

$100K - $218K *

Join a dynamic team dedicated to enhancing clinical documentation integrity through collaborative denial management, ensuring accuracy, and preventing payer denials across various healthcare settings...

US-AnywhereRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$96K - $132K *

Optimize clinical documentation processes by ensuring accuracy and compliance through reviews, collaboration, and education. This role supports quality outcomes and appropriate reimbursement by enhanc...

US-AnywhereRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$102K - $170K *

Contribute to the improvement of clinical documentation practices by leading a team of CDI specialists, engaging with various stakeholders, and driving performance metrics to enhance accuracy and comp...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$78K - $96K *

Empower accurate clinical documentation, enhancing patient care quality through thorough record reviews and effective interdisciplinary collaboration in this pivotal role. Drive improvements in docume...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Contribute to improving clinical documentation integrity through developing standard processes, educating staff, and conducting thorough reviews to enhance compliance and support value-based care init...

US-AnywhereRemote

Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$76K - $103K *

Unlock the potential of patient care by enhancing clinical documentation accuracy. Collaborate closely with healthcare professionals to drive quality improvements and ensure comprehensive medical reco...

US-AnywhereRemote

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Pioneer the improvement of clinical documentation quality through collaboration with healthcare teams. Educate staff on documentation processes, enhance patient records, and ensure accurate clinical d...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$96K - $144K *

Lead the charge in ensuring accurate clinical documentation and coding compliance across multiple acute care hospitals. Collaborate with clinical teams to optimize coding practices and enhance the qua...

US-AnywhereRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$78K - $119K *

Transform clinical outcomes by ensuring accurate documentation and education within a dedicated team. Lead initiatives for provider training and improvement, leveraging extensive nursing expertise to...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$85K - $132K *

Champion clinical documentation integrity by educating the CDI team to enhance the quality and accuracy of medical records. Collaborate with various departments to ensure compliance and optimal progra...

US-AnywhereRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$100K - $125K *

Lead the coding team's efforts in driving operational excellence and revenue integrity. Oversee daily workflows and collaborate with clinical staff to enhance chart accuracy and coding processes in a...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$96K - $134K *

Optimize the Clinical Documentation Integrity audit plan, ensuring quality and thorough training for providers and staff. Collaborate closely with leadership to enhance metrics, goals, and documentati...

US-AnywhereRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Transform your expertise into impactful solutions as you analyze and develop medical policies for genetic testing. Collaborate across teams while delivering high-quality insights in a fast-paced envir...

US-AnywhereRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$87K - $157K *

Lead the Coding & Clinical Review team to ensure accurate DRG assignments, compliance, and operational excellence in Payment Integrity. Drive performance and quality while overseeing audits and collab...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $157K *

Supervise the Coding & Clinical Review team to ensure accurate DRG coding, compliance with standards, and operational efficiency, while implementing strategies that enhance team performance and uphold...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $95K *

Lead efforts to enhance documentation accuracy and coding compliance, ensuring optimal reimbursement and adherence to regulations. Collaborate with clinical departments to implement effective educatio...

US-AnywhereRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K *

Lead the charge in clinical audit excellence by integrating coding principles and guidelines. You'll analyze inpatient claims and ensure compliance with standards, driving quality and accuracy in heal...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$147K - $183K *

Accelerate your career by leading strategic operations in Risk Adjustment Coding. Drive quality and efficiency while ensuring client satisfaction and operational excellence through collaboration and i...

US-AnywhereRemote

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$90K - $100K *

Drive excellence in clinical quality operations by managing a diverse network of practitioners, ensuring adherence to policies and performance targets, while providing strategic oversight and coaching...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $126K *

Support our Clinical Policy team by ensuring accurate coding and guidelines for clinical coverage. Collaborate cross-functionally on claims payments and operational strategy, influencing health outcom...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Manage clinical operations by providing expert leadership and guidance. Drive efficiency through strategic project management, fostering collaboration among physicians and staff while ensuring complia...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$81K - $109K *

Unlock potential by leading clinical documentation improvement initiatives. Collaborate with healthcare teams to enhance documentation accuracy, boost revenue, and educate stakeholders on compliance a...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $126K *

Innovate your career by independently mastering MS-DRG and APR-DRG coding, ensuring coding accuracy, compliance, and clinical documentation quality. Engage with complex cases and drive strategic initi...

US-AnywhereRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Shape the future of diabetes care by guiding members through their healthcare journey, optimizing management strategies, and empowering them with education to achieve better health outcomes and self-m...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$64K - $96K *

Transform MRA coding audits to enhance data integrity and compliance with CMS standards. Collaborate with teams to ensure quality improvement, audit accuracy, and effective training, while maintaining...

US-AnywhereRemote

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.