Clinical Documentation Specialist Jobs

Clinical Documentation SpecialistAbrazo Community Health Network Hospital

This hybrid position, both onsite and remote, focuses on improving the overall quality and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality.

Clinical Documentation SpecialistKahtnuht’ana Development Corporation

The Clinical Documentation Specialist ensures that all clinical and operational documentation and coding practices comply with federal, state, and Tribal regulations.

Clinical Documentation SpecialistNorthern Health

This role is responsible for facilitating the overall quality, completeness, and accuracy of clinician documentation in patient healthcare records. This supports the delivery of high-quality patient care, accreditation, adherence to quality standards, the clinical coding process, and appropriate…

Clinical Documentation SpecialistSinging River Health System

This role focuses on improving the quality and completeness of clinical documentation by working closely with physicians, nursing staff, other caregivers, and coding staff.

Clinical Documentation SpecialistNebraska Methodist Health System

The Clinical Documentation Specialist is responsible for reviewing patient clinical documentation to ensure accurate representation of their condition through complete and precise reporting of diagnoses and procedures.

The Clinical Documentation Integrity (CDI) Specialist reviews medical records to identify opportunities to clarify diagnoses and clinical conditions. This role involves collaborating with providers, coders, and other healthcare team members to ensure accurate documentation that supports compliant…

Clinical Documentation SpecialistJohns Hopkins Health System

This Clinical Documentation Specialist (CDS) role involves medical record review, collaboration with inpatient coding professionals, and reconciliation of assigned cases.

Clinical Documentation SpecialistTrinity Health

This role involves using advanced clinical and coding expertise to ensure the integrity of clinical documentation. The Clinical Documentation Specialist reviews, educates, and consults to facilitate the overall quality, completeness, accuracy, and integrity of medical record…

Clinical Documentation SpecialistUChicago Medicine

This hybrid role involves improving the quality and completeness of medical record documentation on an ongoing basis. The specialist promotes modifications to ensure accurate depiction of clinical services and patient severity of illness, working collaboratively with physicians…

Clinical Documentation SpecialistPractoPulse Healthcare Services Private Limited

This role is for a Clinical Documentation Specialist responsible for creating accurate medical transcription documents from audio recordings and supporting healthcare providers in maintaining precise clinical records.

Clinical Documentation SpecialistBroward Health

This role involves reviewing medical records to ensure accurate representation of the severity of illness and complexity of care. It requires extensive record review and interaction with physicians, HIM professionals, and nursing staff.

Clinical Documentation SpecialistRochester Regional Health

This role facilitates accurate documentation for severity of illness, expected risk of mortality, complexity of care, and quality in medical records. It involves extensive record review and interaction with members of the healthcare and ancillary teams.

Clinical Documentation SpecialistSan Antonio Regional Hospital

This role involves reviewing medical records to find opportunities for clarifying diagnoses and clinical conditions. The specialist works with providers, coders, and other healthcare team members to ensure accurate documentation that supports compliant reimbursement, quality…

Clinical Documentation SpecialistRamsay Health Care

Clinical Documentation Specialists play a crucial role in ensuring the accuracy and completeness of clinical documentation, directly impacting patient care representation, funding, and clinical truth.

Clinical Documentation SpecialistBronxCare Health System

The Clinical Documentation Specialist (CDS) at BronxCare Health System ensures the accuracy, completeness, and integrity of patient medical records.

This role involves improving the quality and completeness of clinical documentation in legal medical records, guided by clinical documentation guidelines and established policies.

Live Clinical Documentation Specialistikshealth

This night-shift post involves documenting live physician-patient encounters directly into an EHR system. The role is for an experienced professional who can accurately capture clinical information in real-time.

Clinical Documentation Improvement SpecialistOptum

This Clinical Documentation Improvement Specialist (CDI) role provides program oversight and day-to-day CDI implementation processes related to the concurrent review of clinical documentation in inpatient medical records for Optum 360 clients' patients.

RN Specialist, Clinical DocumentationDenver Health

This mission-driven role involves performing concurrent and retrospective reviews of patient records to ensure accuracy, specificity, and compliance in clinical documentation.

Clinical Documentation Specialist CDIMount Sinai Medical Center

This role focuses on ensuring accurate, complete, and clinically supported documentation in inpatient medical records, reflecting the severity of illness, quality outcomes, and reimbursement integrity.

Clinical Documentation Specialist RNMartin's Point Health Care

Caring for patients and ensuring accurate clinical documentation is the core of this role, which supports complete documentation that reflects the severity of illness, quality of care, and services provided.

This remote role focuses on improving clinical documentation to ensure the accuracy, quality, and completeness of patient records at various facilities.

Clinical Documentation Specialist RNMultiCare

Clinical Documentation Specialists improve the overall quality and completeness of clinical documentation. This position facilitates modifications to clinical documentation through extensive interaction with various healthcare staff to ensure appropriate reimbursement for services…

Inpatient Clinical Documentation SpecialistEnjoin

The Inpatient Clinical Documentation Specialist (CDS) partners with physicians, coding professionals, and clinical teams to improve the accuracy, completeness, and integrity of inpatient medical record documentation.

Clinical Documentation Improvement SpecialistUASI

This fully remote role is for an experienced and motivated Clinical Documentation Improvement (CDI) professional who will help improve the quality and accuracy of clinical documentation.

Clinical Documentation Specialist (CDI)Solventum

This Clinical Documentation Integrity (CDI) Specialist role involves reviewing inpatient medical records to ensure accurate, complete, and compliant clinical documentation.

Clinical Documentation Specialist (Remote)Memorial Hermann

This remote position is responsible for the concurrent review of inpatient medical records to find opportunities for improving the quality of physician documentation.

Clinical Documentation Specialist - PRNUAB Medicine

This PRN role in Clinical Documentation Integrity focuses on improving the overall quality, completeness, and accuracy of medical record documentation.

Clinical Documentation Integrity SpecialistLadders

This role focuses on strengthening documentation accuracy, supporting denial prevention, and improving the integrity of clinical records across a complex healthcare environment.

Clinical Documentation Specialist IIMoffitt

This specialist role focuses on improving the quality and completeness of clinical documentation in medical records by working directly with providers.

Clinical Documentation Specialist - NursingAvita Health System

This role involves improving the overall quality and completeness of provider-based clinical documentation in medical records. The specialist works with providers to ensure documentation accurately reflects the severity of illness and level of services rendered, assessing records…

Facility Clinical Documentation SpecialistTriHealth

Being a Facility Clinical Documentation Specialist at TriHealth means having a meaningful impact on clinical quality, documentation integrity, and revenue accuracy across outpatient services.

Clinical Documentation & Information SpecialistTrillium Family Services

This specialist role supports the integrity of clinical documentation, information management, and compliance across the organization. The ideal candidate will ensure that clinical documentation and related records meet organizational, regulatory, and payer standards for accuracy…

Clinical Documentation Integrity SpecialistCook Children’s Health Care System

This genuine position at Cook Children's Health Care System involves performing chart reviews to ensure documentation accuracy, coding accuracy, and APR-DRG assignment compliance.

Senior Clinical Documentation SpecialistAscension

Leading high-complexity clinical chart reviews to ensure accurate diagnosis codes and comprehensive patient care documentation is central to this role.

Clinical Scribe & Documentation SpecialistOak Street Health

This full-time position supports primary care providers with real-time documentation and coding accuracy in clinic settings. The role emphasizes accurate, timely notes, CPT/ICD-10 coding, and after-visit summaries to support value-based care.

Clinical Documentation Integrity Specialist - RemoteMedasource

This fully remote, contract-to-hire engagement supports a large, multi-state health system by ensuring medical records accurately reflect patient severity, risk, and complexity of care.

Remote Clinical Documentation SpecialistCommunity Health Systems

This remote role focuses on improving clinical documentation to ensure the accuracy, quality, and completeness of patient records at various facilities.

Clinical Documentation Specialist RNAdvocate Health Care

Being a Clinical Documentation Specialist involves improving the quality and completeness of clinical documentation by reviewing charts, communicating with healthcare team members, and ensuring accurate reflection of patient acuity and risk of mortality.

Clinical Documentation SpecialistAppalachian Regional Healthcare (ARH)

This role involves evaluating medical records to ensure compliance with State and Federal regulations and providing consultation to medical records staff, physicians, and other relevant personnel.

Clinical Documentation Specialist SeniorMoffitt Cancer Center

This senior-level role focuses on improving the quality and completeness of clinical documentation within medical records by working directly with healthcare providers.

Clinical Documentation Audit SpecialistAbington Memorial Hospital

Clinical Documentation Audit Specialist provides expert-level reviews of targeted medical records to ensure accurate quality data reporting and provides educational feedback to CDI managers.

Clinical Documentation Specialist IHospital Authority (MUHA)

This role is for a Registered Nurse who will work as a Clinical Documentation Specialist. The core of the job involves reviewing inpatient electronic medical records to pinpoint missing or incomplete diagnoses and collaborating with healthcare providers to ensure accurate…

RN - Clinical Documentation SpecialistBaton Rouge General

This role is for a detail-oriented, analytical RN with strong clinical judgment and a passion for documentation accuracy, who will ensure the accuracy, quality, and completeness of clinical documentation to support exceptional patient care, accurate coding, and appropriate…

Clinical Documentation Informatics SpecialistFMOL Health

This role, also known as a CDI Coordinator, supports clinical documentation initiatives for a hospital or health system. It involves assisting with program support, special projects, process implementation, and continuous process improvement, focusing on reviewing medical records to ensure clear…

Clinical Documentation Improvement SpecialistSouth Metropolitan Health Service

This permanent, part-time opportunity is for a Clinical Documentation Improvement Specialist to join a multidisciplinary team. The specialist will engage, educate, and lead clinicians while conducting retrospective and concurrent reviews of clinical documentation to ensure best practice standards…

Clinical Documentation Specialist RemoteMercyOne Genesis

This remote position involves utilizing clinical and coding expertise to ensure the integrity of clinical documentation. The specialist will review medical records, educate healthcare teams, and act as a consultant to facilitate overall quality, completeness, and accuracy of…

RN Clinical Documentation SpecialistMontefiore Nyack Hospital

This role involves improving inpatient medical record documentation by interacting with and educating physicians and other licensed independent practitioners.

Clinical Documentation Improvement SpecialistBaylor College of Medicine

The Clinical Documentation Improvement (CDI) Specialist supports accurate and compliant professional fee billing by reviewing and improving provider documentation.

This role is responsible for improving the overall quality and completeness of medical record documentation. It involves extensive interaction with physicians, nursing staff, patient caregivers, and coders to ensure accurate clinical documentation.