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Clinical Documentation Jobs in Indiana (NOW HIRING)

Datavant

CDQI Nurse Specialist- FT

Indianapolis, IN · On-site

$40 - $45/hr

As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and ...

CYNET SYSTEMS

Documentation Specialist

Indianapolis, IN · On-site

$34 - $39/hr

Documents are both internal/external facing and digital/print for consumer method. * Integrates ... We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and ...

Boca Recovery Center

Clinical Director

Bloomington, IN · On-site

$74K - $100K/yr

Monitor clinical documentation for quality, accuracy, and compliance with state and federal guidelines * Lead regular case conferences and team meetings to foster collaboration and high standards of ...

Boca Recovery Center

Clinical Director

Bloomington, IN · On-site

$74K - $100K/yr

Monitor clinical documentation for quality, accuracy, and compliance with state and federal guidelines * Lead regular case conferences and team meetings to foster collaboration and high standards of ...

Boca Recovery Center

Clinical Director

Bloomington, IN · On-site

$74K - $100K/yr

Monitor clinical documentation for quality, accuracy, and compliance with state and federal guidelines * Lead regular case conferences and team meetings to foster collaboration and high standards of ...

DCS Clinical

Registered Dental Hygienist

Huntingburg, IN · On-site

$75K - $85K/yr

Maintain accurate clinical documentation and patient records * Collaborate closely with doctors and team members to ensure optimal patient outcomes * Support a positive and efficient clinical ...

Trilogy Healthcare Services

Clinical Liaison

Indianapolis, IN · On-site

$62K - $83K/yr

Conducts pre-admission assessments to gather clinical documentation and reviews the documentation to ensure they support the insurance requirements for approval. * Responds immediately to patient ...

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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 21, 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.

DRG Clinical Validation Lead

The Elevance Health Companies, Inc.

Indianapolis, IN • On-site

$89.52 - $161.14/hr

Other

Posted 15 days ago

Elevance Health rating

7.6

Company rating: 7.6 out of 10

Based on 352 frontline employees who took The Breakroom Quiz

213th of 311 rated insurance

Job description

DRG Clinical Validation Lead

Virtual: This role enables associates to work virtually full-time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development.

Per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Responsibilities
  • Conducts pre‑certification, retrospective, out‑of‑network and appropriateness‑of‑care reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
  • Ensures member access to medically necessary, quality healthcare in a cost‑effective setting according to contract.
  • Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high‑quality, cost‑effective care throughout the medical management process.
  • Collaborates with providers to assess member needs for early identification of and proactive planning for discharge planning.
  • Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non‑certifications.
  • Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.
  • Serves as the team lead and responds to the most complex medical issues.
  • Ensures consistency in benefit application.
  • May lead cross‑functional teams, projects, initiatives, process‑improvement activities, and requires previous managed care experience.
  • May serve as departmental liaison to other areas of the business unit or as representative on enterprise initiatives.
Qualifications
  • Requires AS in nursing and minimum of 7 years of acute care clinical experience; or any combination of education and experience which provides an equivalent background.
  • Prior managed care experience required.
  • Current unrestricted RN license in applicable state(s) required.
Preferred Skills, Capabilities and Experiences
  • Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC.
  • Experience with third‑party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred.
  • Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.
  • Lead experience preferred.
Salary & Locations

Salary range: $89,520 to $161,136. Locations: California; Colorado, Illinois, Maryland, Minnesota, Nevada; New York; Washington State.

EEO Statement

Elevance Health is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

Social media

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