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Clinical Documentation Analyst Jobs (NOW HIRING)

BronxCare Health System

Clinical Documentation Speclst

Bronx, NY · On-site

$36.25 - $48.75/hr

Contribution and participation includes data collection, analysis, implementation of and compliance ... Coordinates and maintains all elements of the Clinical Documentation Improvement Program in order ...

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How much do clinical documentation analyst jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for clinical documentation analyst in the United States is $39.80, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.67 per hour, depending on experience, location, and employer.

How to get into CDI with no experience?

To enter a Clinical Documentation Improvement (CDI) role with no experience, candidates should focus on gaining foundational knowledge through online courses or certifications in medical coding, healthcare documentation, or clinical terminology. Developing strong attention to detail, understanding medical records, and familiarizing oneself with electronic health record (EHR) systems can also improve prospects; some entry-level positions may offer on-the-job training for those with relevant skills or backgrounds in healthcare or medical coding.

How does a Clinical Documentation Analyst typically collaborate with physicians and nursing staff to improve documentation quality?

Clinical Documentation Analysts frequently work alongside physicians and nursing staff to ensure that patient records are accurate, complete, and compliant with regulatory standards. This collaboration often involves providing feedback, conducting training sessions, and clarifying medical terminology or documentation requirements. By fostering open communication and offering support, analysts help clinical teams understand the impact of thorough documentation on patient care quality and hospital reimbursement. Effective collaboration not only improves record accuracy but also enhances workflow efficiency and supports hospital accreditation efforts.

Is CDI a good career?

A Clinical Documentation Analyst (CDI) plays a key role in ensuring accurate medical records and coding, which impacts billing and patient care. The role typically requires strong attention to detail, knowledge of medical terminology, and familiarity with electronic health record systems. CDI can offer stable employment, opportunities for certification, and career advancement in healthcare settings.

What are the key skills and qualifications needed to thrive as a Clinical Documentation Analyst, and why are they important?

To thrive as a Clinical Documentation Analyst, you need a strong understanding of medical terminology, healthcare documentation standards, and often a background in health information management or nursing. Familiarity with electronic health record (EHR) systems, coding software, and certifications like RHIA, RHIT, or CCDS are typically required. Attention to detail, analytical thinking, and effective communication skills help ensure accuracy and collaboration with clinical staff. These skills are vital for accurate and compliant documentation, which supports patient care quality, regulatory adherence, and optimized reimbursement.

What is a Clinical Documentation Analyst?

A Clinical Documentation Analyst is a healthcare professional responsible for reviewing and improving the quality and accuracy of medical records within a healthcare facility. They ensure that clinical documentation reflects the services provided, supports coding and billing, and meets regulatory requirements. Clinical Documentation Analysts often collaborate with physicians, nurses, and coding staff to clarify documentation and provide education on best practices. Their work helps healthcare organizations achieve accurate reimbursement and maintain compliance with healthcare regulations.

Is CCDs certification worth it?

For a Clinical Documentation Analyst, CCDs (Certified Clinical Documentation Specialist) certification can enhance credibility and demonstrate expertise in clinical documentation improvement. It may improve job prospects and salary potential, especially in healthcare settings focused on accurate coding and compliance. However, practical experience and other certifications can also be valuable in this role.

What does a clinical documentation analyst do?

A clinical documentation analyst reviews and improves the accuracy and completeness of medical records to ensure proper coding, billing, and compliance. They analyze clinical documentation, collaborate with healthcare providers, and may use electronic health record (EHR) systems to support quality patient care and reimbursement processes.
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Clinical Documentation Analyst jobs near you
Infographic showing various Clinical Documentation Analyst job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 4% As Needed, 23% Full Time, 50% Part Time, 21% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $82,791 per year, or $39.8 per hour.

Clinical Documentation Specialist

Centers Home

Pompano Beach, FL

$31.50 - $42.50/hr

Full-time

Posted 21 days ago

Job description

Job Title: Clinical Documentation Specialist (RN/LPN) – Full Time
Location: On-site – Staten Island, NY | Valley Stream, NY | Margate, FL
Schedule: Monday to Friday, 9:00 AM – 5:00 PM
Department: Clinical
Reports To: VP of Clinical Operations
Company: Revival Home Health Care

Position Summary:

Revival Home Health Care, a certified and respected home health agency, is seeking a dedicated Clinical Documentation Specialist (RN or LPN) to join our Clinical team. This is a full-time, on-site role responsible for auditing and reviewing patient charts to ensure compliance with all New York State Department of Health (DOH) regulations and standards, as well as internal clinical documentation policies and procedures.

Key Responsibilities:

Conduct detailed audits of clinical documentation for accuracy, completeness, and regulatory compliance

Review and validate OASIS assessments, visit notes, care plans, and physician orders

Ensure appropriate and accurate ICD-10 coding aligned with current home health guidelines

Identify documentation trends and collaborate with clinical staff to provide training and feedback

Support internal quality assurance and performance improvement initiatives

Generate audit reports and present findings to leadership for follow-up actions

Participate in team meetings to support clinical quality improvement efforts

Maintain up-to-date knowledge of DOH, CMS, and other relevant regulatory updates

Qualifications:

Active RN or LPN license in New York State or Florida

Minimum of 1 year of home health care experience

Strong knowledge of clinical documentation practices and standards

OASIS and ICD-10 coding experience strongly preferred

Exceptional attention to detail and analytical skills

Strong communication and interpersonal abilities

Proficiency in EMR systems and Microsoft Office Suite

Why Join Revival Home Health Care?

Join a mission-focused team dedicated to excellence in patient care

Work in a supportive and collaborative clinical environment

Gain professional development opportunities

Enjoy a competitive salary and full benefits package

Apply