ZipRecruiter

Log In

1

Clinical Documentation Jobs in Alabama (NOW HIRING)

next page

Showing results 1-20

People also search for

All JobsClinical Documentation JobsClinical Documentation Jobs in Alabama

Clinical Documentation information

See Alabama salary details

$17

$35

$54

How much do clinical documentation jobs pay per hour?

As of May 28, 2026, the average hourly pay for clinical documentation in Alabama is $35.62, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $40.72 per hour, depending on experience, location, and employer.

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

To thrive as a Clinical Documentation Specialist, you need a strong understanding of medical terminology, anatomy, disease processes, and clinical coding, typically supported by a background in healthcare and certifications such as CCDS or CDIP. Familiarity with electronic health record (EHR) systems, coding software, and clinical documentation improvement (CDI) tools is crucial. Attention to detail, analytical thinking, and effective communication with healthcare providers are standout soft skills in this role. These competencies ensure accurate and comprehensive clinical records, which are vital for patient care quality, regulatory compliance, and optimal reimbursement.

What are some common challenges faced by professionals in Clinical Documentation, and how can they be addressed?

One common challenge in Clinical Documentation is ensuring accuracy and completeness while working under tight deadlines. Documentation specialists must interpret complex medical information and maintain compliance with regulatory standards, which can be demanding. Collaborating closely with physicians and other healthcare staff helps clarify ambiguities, and ongoing training keeps professionals updated on coding changes and best practices. Embracing technology, such as electronic health records (EHRs), also streamlines workflows and reduces errors.

What is clinical documentation?

Clinical documentation refers to the process of recording detailed information about a patient's medical history, diagnoses, treatments, and care in a healthcare setting. This documentation is critical for ensuring accurate communication among healthcare providers, supporting quality patient care, and fulfilling legal and billing requirements. Proper clinical documentation also helps in coding for insurance claims and maintaining compliance with healthcare regulations. It typically involves both handwritten and electronic records, and professionals involved may include physicians, nurses, and clinical documentation specialists.

What is the difference between Clinical Documentation vs Medical Records Technician?

AspectClinical DocumentationMedical Records Technician
CertificationsNone required, but certifications like CCDS can be beneficialRegistered Health Information Technician (RHIT) or Certified Medical Records Technician (CMRT)
Work EnvironmentHospitals, clinics, healthcare facilities, often involved in clinical settingsMedical records departments, healthcare facilities, focusing on record management
Primary ResponsibilitiesCreating, managing, and ensuring accuracy of clinical documentation for patient careOrganizing, coding, and maintaining patient health records and data

While both roles involve handling healthcare information, Clinical Documentation focuses on creating and managing detailed clinical records to support patient care and billing, whereas Medical Records Technicians primarily organize and maintain patient records for administrative purposes. Understanding these differences helps healthcare organizations assign the right roles for accurate documentation and record management.

What are the most commonly searched types of Clinical Documentation jobs in Alabama? The most popular types of Clinical Documentation jobs in Alabama are:
What cities in Alabama are hiring for Clinical Documentation jobs? Cities in Alabama with the most Clinical Documentation job openings:
Clinical Documentation jobs near you
Clinical Documentation Specialist Outpatient

Clinical Documentation Specialist Outpatient

Children's of Alabama

Birmingham, AL • On-site

$32.50 - $43.75/hr

Full-time

Posted 26 days ago

Children's Of Alabama rating

6.4

Company rating: 6.4 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

705th of 989 rated hospitals

Job description

In Clinical Documentation Integrity at Main Campus Lee Building
Work schedule will be Full-time on the Day Shift, Monday-Friday.
Summary:
The Outpatient Clinical Documentation Integrity (CDI) Specialist Nurse will provide clinically based reviews of outpatient medical records to assess and procure accurate, complete, and compliant documentation of the patients' visit encounter. The goal is to facilitate clinically appropriate physician and other clinician documentation of all patient conditions, treatments, and interventions to accurately reflect quality of care, severity of illness, risk of morality and risk adjustment factor to support correct coding, reimbursement, and quality initiatives. The goal of CDI outpatient reviews is to facilitate clinically appropriate physician/ clinician documentation of all patient conditions, treatments, and interventions to accurately reflect quality of care, severity of illness and risk of morality and risk adjustment factor to support correct coding, reimbursement, and quality initiatives. This role will work closely with all levels of leadership, subject matter experts, and operational stakeholders to remain compliant with state and federal regulatory codes and guidelines.
Other information:
Minimum Requirements
• Registered Nurse (RN) preferred
• Current RN or LPN Licensure in the State of Alabama required
Experience
• At least five years of nursing experience required (3 of these years must be in acute or intensive care setting), prefer pediatric experience. Will consider CDI experience in lieu of pediatric experience.
Licensures, Certifications, and/or Registries
• CCDS and/or Coding certification (ex. CPC) highly desired or willingness to complete after employment.
Credentials with Equivalent Qualifications:
Essential:
* Registered Nurse AL Single State or any of the following equivalent qualifications below:
- Registered Nurse AL NLC Multi State
- Registered Nurse Non-AL NLC Multi State
Nonessential:
* Certified Coding Specialist or Certified Coding Associate
Education with Equivalent Qualifications:
Essential:
* Bachelor of Science Nursing in Nursing or Associate of Science Nursing in Nursing
Experience with Equivalent Qualifications:
Essential:
* 5 Years job experience as Staff Level with specialization in the field of Nursing Acute
The Clinical Documentation Integrity (CDI) department plays a key role within the Revenue Cycle by ensuring the accuracy and integrity of clinical documentation and related processes. The department encompasses several specialized areas: Inpatient and Outpatient CDI, Infusion Prior Authorizations, Medical Audit, and Medicaid Screening. Each area is staffed by experienced nurses who review medical records for various clinical and regulatory purposes. Inpatient and Outpatient CDI Nurses conduct concurrent and retrospective reviews of medical records to ensure documentation accurately reflects the patient's clinical status, severity of illness, and treatments. Their work supports appropriate coding, reimbursement, and compliance, while also providing ongoing documentation education to physicians and clinical staff. Infusion Prior Authorization Nurses manage prior authorization requests for outpatient infusions, including those requiring peer-to-peer reviews or appeals. They collaborate closely with Billing on denials and appeals to support timely patient care and reimbursement. Medical Audit Nurses perform chart audits to ensure hospital charges are appropriate and compliant. They identify billing trends, correct discrepancies, and support hospital departments with charge integrity. Medicaid Screening Nurses focus on EPSDT and Interperiodic Screenings for patients with Medicaid coverage. Their detailed reviews ensure compliance with state and federal Medicaid regulations. Together, these teams support clinical excellence, regulatory compliance, and financial sustainability through comprehensive documentation and review processes.

What Children's Of Alabama employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Children's of Alabama logo

About Children's of Alabama

Sourced by ZipRecruiter

Since 1911, Children’s of Alabama has provided specialized medical care for ill and injured children. Ranked among the best children’s hospitals in the nation by U.S. News & World Report, Children’s serves patients from every county in Alabama and nearly every state. With more than 3.5 million square feet, it is one of the largest pediatric medical facilities in the United States. Children’s offers inpatient and outpatient services at its Russell Campus on Birmingham’s historic Southside with additional specialty services provided at Children’s South, Children’s on 3rd and in Huntsville and Montgomery. Primary medical care is provided in more than a dozen communities across central Alabama. Children’s is the only health system in Alabama dedicated solely to the care and treatment of children. It is a private, not-for-profit medical center that serves as the teaching hospital for the University of Alabama at Birmingham (UAB) pediatric medicine, surgery, psychiatry, research and residency programs. The medical staff consists of UAB faculty and Children’s full-time physicians as well as private practicing community physicians. Our staff is committed to providing the finest pediatric healthcare to all children. We built our legacy on our core values of trust, teamwork, compassion, innovation and commitment. We know that every time we come through these doors we will live up to our high standards as we work to make a difference in children's lives. You've chosen a career that’s all about care. If you want to make a difference the life of children and their families, if you want to advance in your profession, if you appreciate good benefits, and want to work with outstanding medical professionals in a variety of areas, then Children’s of Alabama is where you belong.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1911

Social media

FacebookTwitter

View All Children's of Alabama Jobs

Apply