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Clinical Documentation Specialist Rn Jobs (NOW HIRING)

Clinical Documentation Specialist

Bethesda, MD · On-site

$37.25 - $50/hr

Clinical Documentation Specialist Duration: Long Term Location: Bethesda, MD JOB PURPOSE ... Bachelor of Science in Nursing and Registered Nurse License Wasim Ahmed 703-722-8126 Additional ...

... Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date ... Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date or job ...

The Senior Clinical Documentation Specialist (CDS) - Float Pool is a versatile and experienced ... Active Registered Nurse (RN) license and CCDS certified required Equal employment opportunity ...

New

Current Oregon RN License. CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner). Continue to obtain CE credits required to maintain re ...

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Clinical Documentation Specialist Rn information

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$18

$39

$59

How much do clinical documentation specialist rn jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for clinical documentation specialist rn in the United States is $39.30, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $44.95 per hour, depending on experience, location, and employer.

What is a Clinical Documentation Specialist RN?

A Clinical Documentation Specialist RN is a registered nurse who specializes in reviewing and improving the accuracy and quality of clinical documentation in patient medical records. Their main goal is to ensure that healthcare records reflect the full extent of care provided, which helps with patient care, coding, billing, and regulatory compliance. They often work closely with physicians, coders, and other healthcare staff to clarify documentation and provide education on best practices. This role requires strong clinical knowledge, attention to detail, and familiarity with healthcare regulations.

How does a Clinical Documentation Specialist RN typically collaborate with physicians and other healthcare providers?

Clinical Documentation Specialist RNs play a crucial role in ensuring the accuracy and completeness of patient records by working closely with physicians, nurses, and other healthcare providers. They often communicate directly with clinicians to clarify documentation, answer questions, and provide education on best practices for record-keeping. This collaboration helps ensure compliance with regulatory standards and supports accurate coding and billing. Building strong, respectful professional relationships and effective communication skills are essential for success in this collaborative environment.

What are the key skills and qualifications needed to thrive as a Clinical Documentation Specialist RN, and why are they important?

To excel as a Clinical Documentation Specialist RN, you need a deep understanding of clinical care, medical terminology, and coding practices, typically supported by an active RN license and experience in acute care settings. Familiarity with electronic health record (EHR) systems, clinical documentation improvement (CDI) software, and certifications like CCDS (Certified Clinical Documentation Specialist) are highly valued. Outstanding attention to detail, strong analytical thinking, and effective communication skills are essential soft skills for collaborating with physicians and other healthcare staff. These competencies ensure the accuracy and completeness of patient records, which directly impacts patient care quality, compliance, and hospital reimbursement.

What is the difference between Clinical Documentation Specialist Rn vs Medical Records Coordinator?

AspectClinical Documentation Specialist RnMedical Records Coordinator
CredentialsRN license, clinical experienceHealth information management certification, administrative skills
Work EnvironmentHospitals, healthcare facilities, clinical settingsMedical records departments, healthcare offices
Employer & IndustryHospitals, clinics, healthcare providersHealthcare facilities, insurance companies, clinics
Search & Comparison IntentRoles involving clinical documentation and codingRecords management and data organization

The Clinical Documentation Specialist Rn focuses on improving clinical documentation accuracy, often requiring nursing credentials and clinical experience. In contrast, the Medical Records Coordinator manages patient records, emphasizing administrative and health information skills. Both roles are vital in healthcare but serve different functions within the medical documentation process.

Are clinical documentation specialist RNs in demand?

Clinical documentation specialist RNs are in demand due to the need for accurate medical records and compliance with healthcare regulations. The role often requires strong clinical knowledge, attention to detail, and familiarity with electronic health record systems, making it a valuable position in hospitals and healthcare organizations.
More about Clinical Documentation Specialist Rn jobs

What cities are hiring for Clinical Documentation Specialist Rn jobs?

Cities with the most Clinical Documentation Specialist Rn job openings:

What states have the most Clinical Documentation Specialist Rn jobs?

States with the most job openings for Clinical Documentation Specialist Rn jobs include:

Infographic showing various Clinical Documentation Specialist Rn job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 22% Part Time, 4% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $81,742 per year, or $39.3 per hour.

CLINICAL DOCUMENTATION SPECIALIST II

Moffitt Cancer Center

Remote

$82K - $126K/yr

Full-time

Re-posted 6 days ago


Moffitt Cancer Center rating

8.2

Company rating: 8.2 out of 10

Based on 95 frontline employees who took The Breakroom Quiz

55th of 891 rated healthcare providers


Job description

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.
As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times' Top Workplaces.
Summary
The Clinical Documentation Specialist II is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical record by working directly with providers. This position is responsible for assisting treating providers to ensure that documentation in the medical record accurately reflects the severity of illness, risk of mortality, complexity of patient care, and hierarchal condition categories of the patient. This position will recognize opportunities for documentation improvement and hold collaborative discussions with providers.
The Clinical Documentation Specialist II assesses clinical documentation through extensive medical record review and utilization of clinical judgment, deployment of artificial intelligence, and collaborating directly with the providers to clarify the documentation to accurately and completely reflect the patients' medical conditions. This position conducts independent research to ensure compliance when developing provider queries, while interpreting and applying evolving standards from governing bodies AHIMA and ACDIS and maintaining up-to-date knowledge of coding changes and updates released each April and October.
Extensive collaboration with physicians, mid-levels, nursing staff, other patient care givers to include developing and delivering education, which will be accomplished with zoom meetings, telephonic discussions, and email.
Credentials and Experience:
• Associate's Degree - field of study: Nursing, HIM or another Healthcare related field
• A minimum of four (4) years' acute care clinical documentation experience to include:
• Applying Medicare, Medicaid and Commercial payer regulations, charging and coding guidelines
• Healthcare regulations
• ICD-10-CM, ICD-10-PCS coding
• Performing independent queries
Certifications:
• (CCDS) Certified Clinical Documentation Specialists from ACDIS
• (CDIP) Certified Documentation Integrity Practitioner from AHIMA
• (CDEI) Certified Documentation Expert Inpatient from AAPC
• Registered Nurse (RN) *in lieu of a certification listed above, an (active) RN will satisfy the certification requirement
Minimum Skills/Specialized Training Required
-Proven record of combining clinical knowledge and coding skills
-Ability to recognize opportunities for documentation improvement and hold collaborative discussions with
providers to address the opportunities in documentation.
-Proficient in computer skills including MS Office, Optum 360 eCAC, Cerner EHR
-Organized, analytical, superior interpersonal and writing skills
-Dependable, self-directed with critical thinking, problem solving, and deductive reasoning
-Knowledge of healthcare regulatory environment
-Understand and support clinical documentation management strategies
-Must be flexible to accommodate clinician schedules
-Knowledge of Case Mix Index and how it is influenced
Preferred Experience
2 years of experience in oncology
Vizient experience
Salary Range
$82,934.80 - $126,427.60
Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.
We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.
Moffitt Career Site
If you have the vision, passion, and dedication to contribute to our mission,
then we have a place for you!
1. Equal Employment Opportunity
Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.
2. Reasonable Accommodation
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email at HRReceptionists@moffitt.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Read more information about your EEO rights under the law.
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