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Clinical Documentation Jobs in Indiana (NOW HIRING)

Good Samaritan

Clinical RN Document Specialist

Vincennes, IN · On-site

$30 - $40.25/hr

Identifies need to clarify documentation of records and utilizes effective communication skills with physician, case managers, nurses, coders and other healthcare professionals utilizing appropriate ...

New

Good Samaritan

Clinical RN Document Specialist

Vincennes, IN · On-site

$30 - $40.25/hr

Identifies need to clarify documentation of records and utilizes effective communication skills with physician, case managers, nurses, coders and other healthcare professionals utilizing appropriate ...

New

Major Hospital

Inpatient/CDI Specialist

Shelbyville, IN · On-site

$33.25 - $44.50/hr

The Clinical Documentation Specialist reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters. This position is challenged to be aware of ...

New

Major Hospital

Inpatient/CDI Specialist

Shelbyville, IN · On-site

$33.25 - $44.50/hr

The Clinical Documentation Specialist reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters. This position is challenged to be aware of ...

New

Reid Home Health

RN - SLR

Richmond, IN · On-site

$31 - $41.75/hr

RN - Clinical Documentation Integrity Follows the American Health Information Management Association's Ethical Standards for Clinical Documentation Professionals. The CDI Specialist works towards ...

Hickory Recovery

Clinical Director

Indianapolis, IN · On-site

$90K - $100K/yr

Clinical Documentation & Quality Assurance * Audits the EMR for all clients to ensure timely and accurate documentation * Audits therapy notes daily and provides feedback as needed * Conducts routine ...

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Clinical Documentation information

See Indiana salary details

$18

$37

$56

How much do clinical documentation jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for clinical documentation in Indiana is $37.40, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $42.79 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a clinical documentation specialist?

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 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 Indiana?

The most popular types of Clinical Documentation jobs in Indiana are:

Clinical Documentation jobs near you
Infographic showing various Clinical Documentation job openings in Indiana 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 $77,783 per year, or $37.4 per hour.

Clinical Documentation Coordinator Onsite

Indianapolis, IN • On-site

Anew Hospice
See more jobs at Anew Hospiceexternal

Full-time

Posted 9 days ago

Job description

Clinical Documentation Coordinator opening at Anew Care

Position is onsite in Indianapolis, IN!

Anew Care is seeking a highly organized, detail-oriented professional to support our Home Health, Hospice, and Palliative Care teams in documentation management, compliance tracking, and operational coordination. This role is essential in ensuring timely document completion, regulatory compliance, and operational efficiency across our clinical services.

Key Responsibilities:

  • Documentation Management

    • Send clinical and administrative documents via EMR e-fax, DocuSign, and healthcare portals for required signatures
    • Track outstanding documents and proactively follow up with physicians, facilities, and internal team members
    • Maintain organized tracking systems to ensure timely completion
    • Escalate delays that may impact billing or compliance

  • Medical Records & Audit Support

    • Process medical records requests
    • Assist with documentation gathering for Targeted Probe and Educate (TPE) reviews and other audits
    • Ensure records are complete and submitted within required timelines

  • IT Equipment Tracking

    • Maintain accurate tracking logs of employee-issued equipment (laptops, tablets, phones, etc.)
    • Record serial numbers, assignment dates, and retrieval upon separation
    • Coordinate with leadership to ensure accountability

  • Additional Administrative Support

    • Assist leadership with documentation workflow improvements
    • Identify opportunities to streamline follow-up and tracking processes

Qualifications:

  • Experience in home health, hospice, or healthcare administration preferred
  • Familiarity with EMR systems and electronic signature platforms
  • Strong follow-through and accountability
  • Comfortable tracking multiple items simultaneously
  • Highly organized and detail-oriented
  • Understanding of Medicare documentation requirements is a plus

    Apply