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Clinical Documentation Manager Jobs in Indiana (NOW HIRING)

Reid Home Health

RN - SLR

Richmond, IN · On-site

$31 - $41.75/hr

RN - Clinical Documentation Integrity Follows the American Health Information Management Association's Ethical Standards for Clinical Documentation Professionals. The CDI Specialist works towards ...

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Clinical Documentation Manager information

What is a clinical documentation manager?

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 as a clinical documentation manager?

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 most commonly searched types of Clinical Documentation jobs in Indiana? The most popular types of Clinical Documentation jobs in Indiana are:
What are popular job titles related to Clinical Documentation Manager jobs in Indiana? For Clinical Documentation Manager jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Clinical Documentation Manager jobs in Indiana look for? The top searched job categories for Clinical Documentation Manager jobs in Indiana are:
What cities in Indiana are hiring for Clinical Documentation Manager jobs? Cities in Indiana with the most Clinical Documentation Manager job openings:
Clinical Documentation Manager jobs near you
Infographic showing various Clinical Documentation Manager job openings in Indiana as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Clinical Documentation Specialist

Dr. Black's Eye Associates

New Albany, IN

$32.25 - $43.25/hr

Full-time

Posted 2 days ago

New

Job description

Clinical Documentation SpecialistAbout the Role

We are looking for a dependable and detail-focused Clinical Documentation Specialist to support our providers in delivering outstanding patient care. This team member will work side-by-side with physicians during patient visits, documenting clinical information, assisting with workflow management, and helping ensure a smooth and positive experience for every patient. Role will be similar to a medical scribe.

This opportunity is well suited for individuals interested in healthcare, eye care, medical assisting, or clinical support roles who thrive in a busy patient-centered environment.

Key Responsibilities
  • Provide real-time documentation of patient visits within the electronic health record system.
  • Capture and record patient concerns, medical histories, examination findings, assessments, and treatment recommendations.
  • Support providers by accurately entering orders, prescriptions, referrals, and diagnostic testing requests.
  • Prepare exam lanes and verify that all necessary equipment, supplies, and patient information are available prior to appointments.
  • Assist in coordinating patient movement throughout the clinic to promote efficient scheduling and timely care.
  • Explain testing procedures and post-visit instructions as directed by the provider.
  • Maintain accurate, complete, and confidential medical records in accordance with HIPAA guidelines.
  • Assist with clinical support duties, including technician-related tasks, when needed.
  • Collaborate with providers and staff to ensure high-quality patient care and operational efficiency.
  • Perform additional administrative or clinical responsibilities as assigned.
Required Qualifications
  • High school diploma, GED, or equivalent education.
  • Strong keyboarding, data-entry, and computer navigation skills.
  • Excellent organizational abilities with strong attention to detail.
  • Effective interpersonal and verbal communication skills.
  • Ability to manage multiple priorities in a fast-paced healthcare setting.
  • Professional behavior and commitment to exceptional customer service.
Preferred Qualifications
  • Previous experience in a medical scribe, ophthalmic technician, optometric technician, healthcare assistant, or medical assistant role.
  • Familiarity with electronic health record (EHR/EMR) platforms.
  • Understanding of basic medical terminology and clinical documentation.
  • Prior exposure to ophthalmology, optometry, or related healthcare specialties.
Preferred Credentials

The following certifications are welcomed but not required:

  • Certified Ophthalmic Assistant (COA)
  • Certified Paraoptometric (CPO)
  • Certified Clinical Medical Assistant (CCMA) or equivalent certification
Work Environment amp; Physical Requirements

This position is based in a professional healthcare office and requires regular interaction with patients, physicians, and staff. Team members should be comfortable standing, walking, sitting, and using office and clinical equipment throughout the workday. Occasional lifting of up to 50 pounds may be required. Visual abilities, including close-up and distance vision, are necessary for performing job duties effectively.

Additional Information

The responsibilities listed above represent the general nature of this position and are not intended to cover every duty that may be assigned. Team members may be asked to perform additional tasks consistent with business needs. Reasonable accommodations will be provided in accordance with applicable laws.

Our organization may use technology-assisted tools during portions of the recruitment process to enhance efficiency and candidate experience. Every application receives human review, and all employment decisions are made by our hiring team.

Equal Employment Opportunity

We are proud to be an Equal Opportunity Employer committed to creating an inclusive workplace for all employees and applicants. We maintain a tobacco- and vape-free work environment and participate in the federal E-Verify program.

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