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Clinical Documentation Manager Jobs (NOW HIRING)

Fusion HCR

Clinical Documentation Manager

Las Vegas, NV · On-site

$33.50 - $45/hr

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

Documentation Manager

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 ...

FMOLHS

Manager Clinical Documentation

Baton Rouge, LA

$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 ...

NS Pharma Inc

Manager, Clinical Documentation

Paramus, NJ · On-site

$110K - $140K/yr

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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How much do clinical documentation manager jobs pay per year?

As of May 28, 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 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.

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.
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Clinical Documentation Manager jobs near you
CLINICAL DOCUMENTATION MANAGER

CLINICAL DOCUMENTATION MANAGER

Registry Ally, Inc.

Orange, CA • On-site

Full-time

Posted 14 days ago

Job description

Job Description
Job Details
  • On Site Clinical Documentation Manager for a large healthcare system in Orange, CA
  • Full Time Permanent Position
  • Highly Competitive Salary
  • Excellent Benefits

Job Summary
The Clinical Documentation Manager is responsible for the leadership and management of the Clinical Documentation Improvement (CDI) Program. This position is accountable for budgeting, planning and monitoring budget variances, etc. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies ACDIS & AHIMA guidelines for compliant query, as well as hospital policies and procedures. Incumbent facilitates the improvement in the overall quality, completeness, and accuracy of medical record documentation through comprehensive review and evaluation of the medical record. Proactively seeks clarification from physicians and other healthcare providers when further specificity is needed to ensure. The CDI Manager educates senior leaders and physicians on documentation guidelines on an ongoing basis.
Requirements
  • Active and unrestricted California RN or Nurse Practitioner License
  • Master's Degree in Nursing or other healthcare related field
  • Minimum 7 years of clinical RN experience
  • 5 years' experience as a CDI Specialist
  • Previous lead or supervisory experience
  • Familiarity with Utilization Review criteria
  • Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
  • CDI Credential (CCDS, CDIP)
  • Electronic Health Record experience 3M, Epic
  • Knowledge of ICD-10 CM and CPT coding
  • Ability to establish and maintain effective working relationships across the Health System
  • Ability to maintain a work pace appropriate to the workload
  • Must demonstrate customer service skills appropriate to the job
  • Complete understanding of acuity levels for specific patient populations
  • Excellent written and verbal communication skills in English
  • Strong clinical knowledge with ability to interpret clinical documentation

Preferred Qualifications
  • Previous experience with comprehensive chart / record review
  • Knowledge of patient safety strategies
  • CCS or CPC Coding Credential
  • Knowledge of quality improvement methodologies
  • Knowledge of University and medical center organizations, policies, procedures and forms

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