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Clinical Documentation Manager Jobs (NOW HIRING)

Clinical Documentation Integrity Manager

$35.50 - $47.75/hr

None What You Will Do The Clinical Documentation Integrity Manager is responsible for assisting the CDI Director with new client implementations/engagement, work collaboratively with the facility CDI ...

Clinical Documentation Specialist

Dallas, TX · Remote

$35.50 - $47.75/hr

The Clinical Documentation Specialist will be responsible for the concurrent review of medical ... Experience with criteria-based chart review, such as Case Management, Utilization management ...

$80 - $100/hr

## Clinical Documentation SpecialistApplylocations: Methodist Jennie Edmundson Hospital - Council ... Five years clinical experience in medical surgical nursing and/or ICU, or case management, and/or ...

Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the ...

Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the ...

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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 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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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

Clyde, NC • On-site

Lifepoint Health
Health Care and Social Assistance • 10K+ employees

$10/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

767th of 898 rated healthcare providers


Job description


Your experience matters
Haywood Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As the Clinical Documentation Specialist, you will review patient medical records to ensure documentation is accurate, complete, and compliant, collaborating with providers to clarify diagnoses and procedures in accordance with coding guidelines and organizational policies. You will also support quality improvement initiatives, maintain required continuing education, and uphold compliance, safety, and professional standards to promote accurate clinical documentation and optimal patient care. In this role, you'll join a team dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
More about our team
Join our team at Haywood Regional Medical Center, where a long-standing tradition of excellence meets a commitment to exceptional patient care. As a leading healthcare provider in Western North Carolina, we offer a comprehensive range of services, including Orthopedics, Spine Services, Cardiology, Emergency Medicine, General Surgery, Women's Care, and Behavioral Health, supported by 11 multi-specialty physician clinics. Our growing health system also features a modern Outpatient Care Center, Health & Fitness Center, and two urgent care locations, creating a collaborative environment dedicated to improving the health and well-being of the communities we serve.
How you'll contribute
A Clinical Documentation Specialist who excels in this role will:
  • Facilitate improvement in the overall quality, completeness, and accuracy of clinical documentation by collaborating with physicians, case managers, coders, and other members of the healthcare team to ensure medical records accurately reflect patient diagnoses, treatments, and clinical decisions.
  • Conduct daily reviews of inpatient medical records to identify missing, unclear, vague, conflicting, or incomplete diagnoses and procedures, and perform timely follow-up reviews to ensure documentation opportunities and provider queries are addressed.
  • Utilize clinical and coding knowledge to identify documentation improvement opportunities and support accurate reporting of physician and hospital outcomes in accordance with established guidelines and regulatory requirements.
  • Develop and communicate compliant physician queries regarding diagnosis and procedure specificity based on clinical indicators, accepted coding guidelines, organizational policies, and industry best practices.
  • Serve as a documentation resource for physicians and healthcare team members by providing guidance, education, and support related to clinical documentation requirements and improvement opportunities.
  • Conduct educational sessions and training programs for physicians, clinical staff, coding teams, and other internal stakeholders to promote accurate, complete, and compliant clinical documentation practices.
  • Track and trend documentation improvement opportunities, utilize CDI metrics and reports to monitor progress, and support process improvement initiatives that enhance organizational outcomes.
  • Prepare and communicate reports related to CDI performance, progress toward goals, operational improvement plans, and compliance with applicable federal, state, and local regulations, while maintaining confidentiality and adhering to HIPAA and organizational standards.

Schedule: Full-Time; Days
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.
  • Health & Fitness Center Access www.myhaywoodregional.com/locations/haywood-regional-health-fitness-center

What we're looking for
  • High School Diploma or equivalent required; combination of education and relevant healthcare experience may be considered.
  • Minimum of one (1) year of healthcare-related experience required; experience in clinical documentation, coding, health information management, nursing, utilization review, or case management preferred.
  • Preferred credentials include RHIT, RHIA, CCS-P, CCS, Registered Nurse (RN), or Licensed Practical Nurse (LPN) in the state of practice.
  • Knowledge of healthcare documentation, medical terminology, coding practices, and clinical workflows preferred.
  • Ability to review medical records and identify opportunities for documentation accuracy, completeness, and compliance.
  • Strong communication and collaboration skills with the ability to work effectively with providers, clinical teams, coding professionals, and other stakeholders.
  • Strong attention to detail, analytical thinking, and problem-solving skills with the ability to manage multiple priorities.
  • Ability to maintain confidentiality, professionalism, and accuracy while working in a fast-paced healthcare environment.

More about Haywood Regional Medical Center
Haywood Regional Medical Center (HRMC) is a 154-bed acute hospital and includes 11 multi-specialty clinics that have been offering exceptional care to the Haywood County community for over 97 years. The campus, located in Clyde, is also home to the 54,000 square foot Haywood Regional Health & Fitness Center, and the 44,000 square foot Outpatient Care Center. HRMC also operates two urgent care centers in the county. We are proud to be recognized for an "A" hospital safety grade from The Leapfrog Group, The Joint Commission National Quality Approval, Screening Center of Excellence with Lung Cancer Alliance, accredited Chest Pain Center from American College of Cardiology, and Center of Excellence from Addario Lung Cancer Foundation.
EEOC Statement
"Haywood Regional Medical Center is an Equal Opportunity Employer. Haywood Regional Medical is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

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