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Clinical Documentation Manager Jobs (NOW HIRING)

Sanford Health

Clinical Documentation Specialist

Bismarck, ND · On-site

$34.50 - $46.50/hr

Summary The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to ...

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Clinical Documentation Manager information

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$27.5K

$81.8K

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How much do clinical documentation manager jobs pay per year?

As of Sep 9, 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?

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 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 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 does a clinical documentation manager do?

A clinical documentation manager oversees the accuracy and completeness of medical records within healthcare organizations. They review clinical documentation, ensure compliance with regulations, and collaborate with healthcare providers to improve documentation quality, often using electronic health record (EHR) systems. This role requires strong attention to detail, knowledge of medical terminology, and familiarity with coding and compliance standards.
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Clinical Documentation Manager jobs near you
Infographic showing various Clinical Documentation Manager job openings in the United States as of September 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $81,814 per year, or $39.3 per hour.

Clinical Documentation Specialist

San Angelo, TX • On-site

Shannon Health
Nursing and Residential Care Facilities • 1 - 5K employees
Learn more about Shannon Healthexternal

$34 - $45.75/hr

Full-time

Re-posted 11 days ago

Job description

Job Summary

The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical record. This position will be responsible for assisting treating providers to ensure that documentation in the medical record accurately reflects the severity of the patient's illness(es) as well as the level of services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff, other patient care givers, and Health Information Management (HIM) coding staff to ensure that appropriate reimbursement is received for the level of services rendered to patients and the clinical information utilized in profiling and reporting outcomes is complete and accurate. 

Qualifications

Education

  • Required
    • Associate’s degree in nursing -or- Doctor of medicine
  • Preferred
    • Bachelor's degree in nursing

Experience:

  • Required
    • Five (5) years of experience in acute care/hospital setting and/or clinical coding
  • Preferred
    • One (1) year of experience in clinical documentation improvement

Certification/Licensure:

  • Required
    • Registered Nurse (RN) with Authorization to Practice in the State of Texas
      • Not required if a Medical Doctor
  • Preferred
    • RHIT/RHIA/CDIP/CCDS or clinical documentation certification

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