The Clinical Documentation Nurse - Quality supports clinical performance through accurate abstraction, review, and reporting of clinical documentation to support quality improvement, accreditation ...
The Clinical Documentation Nurse - Quality supports clinical performance through accurate abstraction, review, and reporting of clinical documentation to support quality improvement, accreditation ...
... nurses, and administrative staff to ensure complete documentation, maintain coding and regulatory standards, and communicate with patients to obtain needed health history. 1-2 years of clinical ...
... nurses, and administrative staff to ensure complete documentation, maintain coding and regulatory standards, and communicate with patients to obtain needed health history. 1-2 years of clinical ...
... nurses, and administrative staff to ensure complete documentation, maintain coding and regulatory standards, and communicate with patients to obtain needed health history. 1-2 years of clinical ...
... nurses, and administrative staff to ensure complete documentation, maintain coding and regulatory standards, and communicate with patients to obtain needed health history. 1-2 years of clinical ...
Clinical Documentation Auditor ? CHHA Department: Compliance / Clinical Review / Care Standards ... OASIS - Visit documentation (nursing, therapy, aide) - Plan of Care compliance - MD order ...
Quick apply
Clinical Documentation Auditor ? CHHA Department: Compliance / Clinical Review / Care Standards ... OASIS - Visit documentation (nursing, therapy, aide) - Plan of Care compliance - MD order ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Job Summary The clinical documentation specialist works collaboratively with providers and coding ... The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
Job Summary The clinical documentation specialist works collaboratively with providers and coding ... The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Santa Fe, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
Clinical Documentation Registered Nurse - Clinical Documentation Integrity
Alexandria, LA · On-site
$32 - $43/hr
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
Clinical Documentation Registered Nurse - Clinical Documentation Integrity
Alexandria, LA · On-site
$32 - $43/hr
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
Clinical Documentation Registered Nurse - Clinical Documentation Integrity
Alexandria, LA · On-site
$65 - $86/hr
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
Clinical Documentation Registered Nurse - Clinical Documentation Integrity
Alexandria, LA · On-site
$65 - $86/hr
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
... clinical documentation; nursing health information, case management, quality management or similar related fields - Required Proficient in computer skills with many softwares including, but not ...
... clinical documentation; nursing health information, case management, quality management or similar related fields - Required Proficient in computer skills with many softwares including, but not ...
Clinical Documentation Integrity Manager
Chattanooga, TN · On-site
$31.75 - $42.50/hr
He/she works with the medical staff and clinical documentation nurse specialists to offer documentation education to secure all legitimate DRG opportunities. He/she works within the scope of care ...
Clinical Documentation Integrity Manager
Chattanooga, TN · On-site
$31.75 - $42.50/hr
He/she works with the medical staff and clinical documentation nurse specialists to offer documentation education to secure all legitimate DRG opportunities. He/she works within the scope of care ...
Clinical Documentation Nurse information
See salary details
$39.5K - $50.7K
15% of jobs
$50.7K - $62K
0% of jobs
$62K - $73.2K
1% of jobs
$81K is the 25th percentile. Wages below this are outliers.
$73.2K - $84.4K
14% of jobs
$84.4K - $95.6K
18% of jobs
The median wage is $98.7K / yr.
$95.6K - $106.9K
11% of jobs
$106.9K - $118.1K
2% of jobs
$118.1K - $129.3K
2% of jobs
$129.3K - $140.5K
8% of jobs
$143.5K is the 75th percentile. Wages above this are outliers.
$140.5K - $151.8K
16% of jobs
$151.8K - $163K
14% of jobs
$39.5K
$108.4K
$163K
How much do clinical documentation nurse jobs pay per year?
As of Sep 6, 2026, the average yearly pay for clinical documentation nurse in the United States is $108,414.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,500.00 and $146,500.00 per year, depending on experience, location, and employer.
What is a clinical documentation nurse?
A Clinical Documentation Nurse (CDN) is responsible for reviewing patient medical records to ensure accurate and complete documentation of diagnoses, treatments, and procedures. They collaborate with healthcare providers to clarify medical records, ensuring compliance with coding regulations and reimbursement policies. By improving documentation quality, CDNs help optimize hospital revenue, enhance patient care, and support accurate reporting of healthcare data. This role requires strong clinical knowledge, attention to detail, and effective communication skills.
What are the typical daily responsibilities of a clinical documentation nurse?
Clinical Documentation Nurses spend their days reviewing patient medical records, assisting physicians and care teams in accurate charting, and identifying opportunities to clarify or improve clinical documentation. They often collaborate with doctors, case managers, and coding specialists to ensure correct and complete patient information for billing and regulatory purposes. In addition, they may conduct educational sessions with clinical staff to promote best documentation practices. This position is vital for ensuring medical records reflect the true complexity and acuity of patient care, which supports both high-quality care delivery and organizational compliance.
What are the key skills and qualifications needed to thrive as a clinical documentation nurse?
A Clinical Documentation Nurse requires a comprehensive understanding of clinical processes, healthcare terminology, and nursing best practices, typically supported by an active RN license and experience in patient care. Familiarity with electronic health record (EHR) systems, clinical documentation improvement (CDI) software, and relevant certifications—such as CCDS (Certified Clinical Documentation Specialist)—are highly valuable. Strong attention to detail, analytical thinking, and effective communication skills help these professionals collaborate with healthcare teams and ensure completeness and accuracy in records. These skills are essential for optimizing patient outcomes, facilitating accurate coding and billing, and maintaining regulatory compliance in healthcare organizations.
Are clinical documentation nurses in demand?
Clinical documentation nurses are in demand due to the need for accurate medical records and compliance with healthcare regulations. They often work in hospitals, clinics, and health information management settings, requiring strong clinical knowledge and attention to detail. The role is expected to grow as healthcare organizations prioritize documentation quality and coding accuracy.
More about Clinical Documentation Nurse jobs
What cities are hiring for Clinical Documentation Nurse jobs?
Cities with the most Clinical Documentation Nurse job openings:
What are the most commonly searched types of Clinical Documentation Nurse jobs?
The most popular types of Clinical Documentation Nurse jobs are:
What states have the most Clinical Documentation Nurse jobs?
States with the most job openings for Clinical Documentation Nurse jobs include:
What job categories do people searching Clinical Documentation Nurse jobs look for?
The top searched job categories for Clinical Documentation Nurse jobs are:
- Clinical Documentation Integrity Salary
- Clinical Documentation Integrity
- Rn Clinical Documentation Integrity Specialist
- Clinical Documentation Integrity Specialist
- Registered Nurse Clinical Documentation Improvement Specialist
- Per Diem Clinical Documentation Integrity
- Risk Adjustment Clinical Documentation Specialist
- Registered Nurse Clinical Documentation Integrity Specialist
- Nurse Risk Adjustment
- Internship International Clinical Documentation Specialist
Full-time
Posted 13 days ago
University Of Chicago Medicine rating
7.5
Based on 62 frontline employees who took The Breakroom Quiz
231st of 898 rated healthcare providers
Job description
Be a part of a world-class academic healthcare system at UChicago Medicine as a Clinical Documentation Nurse - Quality for the Office of External Assessments. This position will be primarily a remote work from home opportunity.
The Clinical Documentation Nurse - Quality supports clinical performance through accurate abstraction, review, and reporting of clinical documentation to support quality improvement, accreditation, regulatory, and patient safety initiatives. The CDN uses established measure specifications, data definitions, and flowcharts to accurately review and abstract data. The successful candidate engages with clinicians and others to clarify documentation, identify gaps or variances, and provide meaningful feedback that supports accurate clinical documentation and evidence-based care.
Essential Job Functions
- Provide abstraction and analysis of clinical medical record documentation to support clinical measures of care
- Educate clinical teams and leaders of documentation needs related to clinical measures to guide improvement efforts
- Engage clinical teams in improvement initiatives through ongoing monitoring and feedback of performance
- Continual education pertaining to abstraction specifications and inter-rater reliability testing among colleagues
- Other duties as assigned by manager
Required Qualifications
- Current IL Nursing License (RN)
- Minimum of two years direct clinical experience
- Quality Improvement experience
Preferred Qualifications
- Two years' experience with TJC/CMS core measures/NSQIP abstraction
- Knowledge of acute care regulatory/accreditation requirements
Position Details
- Job Type/FTE: Full-Time
- Shift: Days
- Job Location: Remote
- Unit/Department: Office of External Assessments
- CBA Code: Non-Union
About Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment... with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.
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