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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 ...

Moffitt

$82K - $126K/yr

... management strategies -Must be flexible to accommodate clinician schedules -Knowledge of Case Mix ... documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Guidehouse

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 ...

FMOLHS

Clinical Documentation Specialist

Baton Rouge, LA · On-site

$33.25 - $45/hr

The Clinical Documentation Specialist (CDS) improves the accuracy and completeness of clinical ... Collaborates with Health Information Management regarding coding analysis and education initiatives ...

Stcharles

Clinical Documentation Specialist

Bend, OR

$95K - $143K/yr

Manager, Clinical Documentation DEPARTMENT: Quality DATE LAST REVIEWED: April 2023 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion ...

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$81.8K

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How much do clinical documentation manager jobs pay per year?

As of Aug 19, 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 August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $81,814 per year, or $39.3 per hour.

Clinical Documentation Coordinator

Access Healthcare Staffing & Recruitment

Las Vegas, NV • On-site

$39.17 - $60.71/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago

Job description

Clinical Documentation Coordinator
*THIS POSITION IS NOT REMOTE*
Location: Las Vegas, NV
Employment Type: Full-Time
Work Model: Hybrid after 6-month probationary period

Position Summary

We are seeking a Clinical Documentation Coordinator to support accurate, complete, and compliant clinical documentation within an acute care inpatient setting.

The CDI Specialist will collaborate with physicians, nursing staff, coding professionals, and ancillary departments to ensure documentation reflects the severity of illness, risk of mortality, quality metrics, and reimbursement accuracy.

This position is open to qualified Registered Nurses, International Medical Graduates (Physicians), and Health Information Management professionals with required CDI certification.

Key Responsibilities

  • Conduct concurrent review of inpatient medical records to ensure accurate and complete clinical documentation
  • Identify documentation opportunities and initiate compliant physician queries
  • Ensure documentation supports appropriate MS-DRG, APR-DRG, and risk adjustment capture
  • Collaborate with Coding, Case Management, and Quality teams
  • Educate providers on documentation best practices and regulatory requirements
  • Monitor and improve key CDI metrics (query rate, response rate, agreement rate, CMI impact)
  • Maintain compliance with CMS and payer guidelines

Minimum Qualifications

All candidates must hold one of the following CDI certifications:

  • Certified Clinical Documentation Specialist (CCDS)
  • Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
  • Certified Document Improvement Practitioner (CDIP)

Registered Nurse Pathway

Education & Experience

  • Graduate of an accredited school of nursing
  • Minimum 3 years of clinical nursing experience
  • Minimum 3 years of Clinical Documentation Improvement experience

Licensure

  • Active, unrestricted Nevada Registered Nurse license

Physician (International Medical Graduate) Pathway

Education & Experience

  • International Medical Graduate (MD)
  • Minimum 3 years acute care clinical experience
  • Minimum 3 years CDI experience

HIM / Coding Pathway

Education & Experience

  • Bachelor’s degree in Healthcare or related field (or equivalent experience)
  • Minimum 3 years Health Information Management experience in acute inpatient setting
  • Minimum 3 years CDI experience

Required Coding Certification (one of the following):

  • Certified Coding Specialist (CCS)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Certified Professional Coder (CPC)
  • Certified Professional Coder-Physician-based (CPC-P)

Why Join Us?

  • Collaborative, team-focused CDI environment
  • Opportunity to impact quality metrics and patient outcomes
  • Competitive compensation based on experience and credentials


Benefits

  • Employer-Paid Pension through Nevada PERS (vested after 5 years)
  • Health, Dental & Vision Insurance — employee-only coverage under $20 per paycheck
  • Consolidated Annual Leave (CAL): PTO, holidays (12/year), sick time, and personal leave
  • Extended Illness (Sick) Bank
  • 457 Deferred Compensation Plan
  • Comprehensive Group Health Insurance
  • No Nevada State Income Tax
  • No Social Security (FICA) deduction