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Clinical Documentation Manager Jobs (NOW HIRING)

Direct Hire - Clinical Documentation Manager, this is an onsite opportunity, working with our client in Acute Healthcare. Our client, a large healthcare organization, is seeking an experienced ...

Clinical Ink is seeking a Documentation Manager to join our Study Operations team based in the ... United States. In this role, you will be responsible for managing the full lifecycle of study ...

Manager Clinical Documentation

Baton Rouge, LA · On-site

$33.25 - $45/hr

The manager of CDI is responsible for managing, coordinating and facilitating activities for the quality and completeness of clinical documentation. Manages CDI staff and concurrent review activity ...

This position is responsible for supporting and maintaining the Quality Management System (QMS) for clinical research activities conducted in the U.S., including SOP lifecycle management, document ...

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Clinical Documentation Manager information

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$27.5K

$81.8K

$143K

How much do clinical documentation manager jobs pay per year?

As of Jun 17, 2026, the average yearly pay for clinical documentation manager in the United States is $81,814.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $101,500.00 per year, depending on experience, location, and employer.

What is a Clinical Documentation Manager job?

A Clinical Documentation Manager oversees the accuracy, completeness, and consistency of medical records to ensure compliance with healthcare regulations and improve patient care. They collaborate with physicians, coders, and other healthcare professionals to enhance documentation quality for proper reimbursement and compliance. Their responsibilities include training staff, conducting audits, and implementing documentation improvement initiatives. This role plays a critical part in supporting accurate coding, billing, and overall healthcare data integrity.

What are the main challenges a Clinical Documentation Manager might face in their role?

Clinical Documentation Managers often face the challenge of ensuring consistent, accurate, and timely documentation across a variety of clinical teams, while staying compliant with evolving regulations and healthcare standards. Balancing the needs of clinicians with organizational documentation requirements and providing ongoing education to staff can be demanding. Additionally, managing a team that may work across different departments requires strong collaboration and adaptability. Overcoming these challenges is critical to maintaining data integrity, supporting quality patient care, and facilitating accurate reimbursement processes.

What are the key skills and qualifications needed to thrive in the Clinical Documentation Manager position, and why are they important?

To thrive as a Clinical Documentation Manager, you need strong knowledge of medical terminology, healthcare regulations, and clinical documentation standards, often supported by a degree in health information management, nursing, or a related field. Expertise with EHR systems, coding software (such as ICD-10 and CPT), and certifications like Certified Clinical Documentation Specialist (CCDS) are highly valued. Outstanding communication, attention to detail, leadership, and training abilities set top candidates apart. These competencies ensure accuracy, regulatory compliance, and improved clinical outcomes through high-quality documentation practices.

More about Clinical Documentation Manager jobs
What cities are hiring for Clinical Documentation Manager jobs? Cities with the most Clinical Documentation Manager job openings:
What are the most commonly searched types of Clinical Documentation jobs? The most popular types of Clinical Documentation jobs are:
What states have the most Clinical Documentation Manager jobs? States with the most job openings for Clinical Documentation Manager jobs include:
Infographic showing various Clinical Documentation Manager job openings in the United States as of June 2026, with employment types broken down into 69% Full Time, 21% Part Time, and 10% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $81,814 per year, or $39.3 per hour.

Clinical Documentation Manager

Fusion HCR

Las Vegas, NV

$33.50 - $45/hr

Other

Posted 22 days ago


Job description

Fusion HCR is hiring! Direct Hire - Clinical Documentation Manager, this is an onsite opportunity, working with our client in Acute Healthcare.
Our client, a large healthcare organization, is seeking an experienced Clinical Documentation Improvement (CDI) Manager to drive documentation accuracy, regulatory compliance, and clinical integrity across acute care services.
This role is responsible for identifying documentation improvement opportunities related to ICD-10, UHDDS, and CMS guidelines. The leader provides oversight of concurrent query processes, supports daily CDI operations, and collaborates closely with physicians, Advanced Practice Professionals, HIM, Coding, Quality, and Revenue Cycle teams to ensure documentation accurately reflects the patient's true clinical condition.
The position uses data analysis and trend monitoring to develop sustainable process improvements that enhance documentation quality, reimbursement integrity, and regulatory compliance. This leader applies clinical expertise and CDI best practices while supporting the mission and standards of the organization.

Education & Experience
Candidates may qualify under one of the following pathways:
Option 1 - Nursing Background
  • Graduate of an accredited school of nursing
  • Minimum five (5) years of clinical nursing experience
  • Three (3) years of CDI experience
  • Two (2) years of CDI leadership experience
Option 2 - International Medical Graduate
  • International MD with five (5) years of acute care experience
  • One (1) year of CDI experience
  • Two (2) years of CDI leadership experience
Option 3 - Health Information Management Background
  • Bachelor's degree (or equivalent) in Health Information Management or Health Information Technology
  • Four (4) years of professional coding and abstracting experience in an acute care hospital
  • Two (2) years of CDI leadership experience

Required Certifications
Certification requirements vary by pathway:
Nursing Pathway
  • Active Registered Nurse license
  • One of the following:
    • Certified Clinical Documentation Specialist (CCDS)
    • Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
    • Certified Documentation Improvement Practitioner (CDIP)
Physician or HIM Pathway
  • One coding credential such as:
    • CCS, RHIT, or RHIA
    • CPC or CPC-P
  • AND one CDI credential:
    • CDIP, CCDS, or CCDS-O

Key Knowledge Areas
  • Reimbursement methodologies and coding guidelines
  • MS-DRGs and APR-DRGs
  • Severity of Illness (SOI) and Risk of Mortality (ROM)
  • Medical necessity, quality measures, and length-of-stay metrics
  • Hospital-acquired conditions (HACs) and patient safety indicators (PSIs)
  • Disease pathophysiology and pharmacology
  • Clinical documentation improvement practices
  • Regulatory standards and compliance requirements
  • Supervisory principles and operational management
  • Patient rights, safety practices, infection control, and emergency procedures

Core Competencies
  • Team leadership and staff development
  • Oversight of concurrent query processes
  • Data analysis and trend identification
  • Process design, implementation, and performance evaluation
  • Budget and staffing plan development
  • Chart review and clinical documentation interpretation
  • Regulatory interpretation and education delivery
  • Investigative interviewing and conflict resolution
  • Professional communication across interdisciplinary teams
  • Strong critical thinking and problem-solving skills
  • Ability to maintain strict confidentiality

This leadership opportunity is ideal for a clinically experienced professional who thrives at the intersection of quality, compliance, and revenue integrity and is passionate about elevating documentation excellence across the organization.