Documentation Specialist Jobs in the United States
Career Launch AI
$140000 - $185000
New York, NY
Actual openings may vary based on employer type (asset manager, hedge fund, private equity firm, fund administrator, or alternative investment platform), fund structure, asset class focus, and regulatory jurisdiction. It is intended to help job seekers understand the responsibilities and qualifications typically associated with roles focused on the preparation, maintenance, and governance of investment fund documentation.
Vaco LLC
$30 - $35
Los Angeles, CA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
Houston Methodist
null, WA
FLSA STATUS** Exempt **QUALIFICATIONS** **EDUCATION** + Medical School graduate where Western Medicine is practiced **EXPERIENCE** + One year of clinical experience preferred **LICENSES AND CERTIFICATIONS** **Required** **Preferred** + CCDS - Clinical Documentation Specialists (ACDIS) **or** + CDIP - Certified Documentation Integrity Practitioner (AHIMA) **or** + CCS - Certified Coding Specialist (AHIMA) **SKILLS AND ABILITIES** + Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations + Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security + Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles + Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures + Demonstrates accountability and professional development + Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication + Regular significant contacts with other personnel throughout the institution (including but not limited to - physicians and their staff, mid-level providers, mid-level staff, coders, Case Managers). Disaster, Severe Weather Events, etc) regardless of selection below._ + On Call* No **TRAVEL**** _**Travel specifications may vary by department**_ + May require travel within the Houston Metropolitan area No + May require travel outside Houston Metropolitan area No **QUALIFICATIONS** **EDUCATION** + Medical School graduate where Western Medicine is practiced **EXPERIENCE** + One year of clinical experience preferred **LICENSES AND CERTIFICATIONS** **Required** **Preferred** + CCDS - Clinical Documentation Specialists (ACDIS) **or** + CDIP - Certified Documentation Integrity Practitioner (AHIMA) **or** + CCS - Certified Coding Specialist (AHIMA) **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers.
Houston Methodist
null, WA
FLSA STATUS** Exempt **QUALIFICATIONS** **EDUCATION** + Medical School graduate where Western Medicine is practiced **EXPERIENCE** + One year of clinical experience preferred **LICENSES AND CERTIFICATIONS** **Required** **Preferred** + CCDS - Clinical Documentation Specialists (ACDIS) **or** + CDIP - Certified Documentation Integrity Practitioner (AHIMA) **or** + CCS - Certified Coding Specialist (AHIMA) **SKILLS AND ABILITIES** + Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations + Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security + Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles + Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures + Demonstrates accountability and professional development + Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication + Regular significant contacts with other personnel throughout the institution (including but not limited to - physicians and their staff, mid-level providers, mid-level staff, coders, Case Managers). Disaster, Severe Weather Events, etc) regardless of selection below._ + On Call* No **TRAVEL**** _**Travel specifications may vary by department**_ + May require travel within the Houston Metropolitan area No + May require travel outside Houston Metropolitan area No **QUALIFICATIONS** **EDUCATION** + Medical School graduate where Western Medicine is practiced **EXPERIENCE** + One year of clinical experience preferred **LICENSES AND CERTIFICATIONS** **Required** **Preferred** + CCDS - Clinical Documentation Specialists (ACDIS) **or** + CDIP - Certified Documentation Integrity Practitioner (AHIMA) **or** + CCS - Certified Coding Specialist (AHIMA) **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers.
Vaco LLC
$33 - $35
Los Angeles, CA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Think Tank, Inc.
Gloucester, MA
Compensation for the successful candidate will be determined based on a variety of factors, including education, relevant work experience, work location, specific job responsibilities, professional certifications, and other job-related criteria. The Senior Software Documentation Specialist develops and maintains high-quality, user-focused documentation for NOAA's portfolio of fisheries management applications.
Sunrise Systems Inc
Bend, OR
Control record management including receipt, reconciliation, scanning and verification, record check-out/check-in and maintain scanned record back-ups. Self-motivated with a positive attitude and ability to work with multi-functional groups in a fast-paced environment.
Supreme Talent
Edison, NJ
Our client, an eCommerce company is looking for a hands-on Business Process Documentation Specialist to join their IT department and play a key role in documenting and optimizing business processes across our ERP, e-commerce platforms, WMS systems, and related integrations. The ideal candidate is highly organized, process-driven, and comfortable working across technical and non-technical teams to translate business operations into clear, actionable documentation and requirements.
Computer Task Group, Inc
$80 - $90
Buffalo, New York
The ideal candidate has experience documenting healthcare program workflows, preferably within a Programs of All-Inclusive Care for the Elderly (PACE) environment or similar integrated care models (e.g., managed care, Medicare/Medicaid programs, value-based care programs). Key Responsibilities: Partner with operational leaders and subject matter experts to understand current-state workflows across the Life/PACE program.
Careerscape
$28 - $35
Boston, MA
The successful candidate will work closely with various stakeholders to create clear and effective documentation for software products. This position is ideal for those eager to embark on a technical writing career and gain essential experience in a dynamic setting.
Hackensack Meridian Health
Hackensack, New Jersey
Obtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. Responsibilities: A day in the life of a Clinical Documentation Specialist RN at Hackensack Meridian Health includes: Facilitates appropriate clinical documentation to ensure the level of services and acuity of care are accurately reflected in the medical record.
Saint Luke's Health System
Kansas City, MO
Our priority is patient care in that we interact with patients daily and have the opportunity to bring something positive to their day to ensure Saint Luke’s is“The Best PlaceToGet Care, The Best PlaceToGive Care.” . Saint Luke’s has a strong nurse governance and we encourage all of our nurses to participate and help us make Saint Luke’sThe Best PlaceToGet Care, The Best PlaceToGive Care.
Blue Star Partners LLC
Irving, TX
The Documentation Specialist prepares, edits, files, and assembles various types of documentation such as reports, technical documents, records, or correspondence. Document Preparation: Prepare and edit documentation including reports, technical documents, records, and correspondence, ensuring accuracy and consistency.
Blue Star Partners LLC
$20 - $24
Columbus, OH
The Documentation Specialist prepares, edits, files, and assembles various types of documentation such as reports, technical documents, records, or correspondence. Document Preparation: Prepare and edit documentation including reports, technical documents, records, and correspondence, ensuring accuracy and consistency.
HME Specialists LLC
Albuquerque, NM
Project management skills will enable you to complete assignments on time and within budget, while your technical acumen will help you assess your strengths and seek relevant training opportunities. As a Documentation Specialist at HME Specialists, you will play an essential role in ensuring accurate billing and timely reimbursement for our new and recurring patients.
Blue Star Partners LLC
North Chicago, IL
Level 1 entails answering straightforward/day-to-day operations questions (ex: how do I submit this form?) and redirecting the stakeholder to the appropriate subject matter expert for more nuanced questions. This role is a hybrid combination of administrative/documentation, data analysis, and serving as a contact point for internal customer questions and day-to-day support.
Blue Star Partners LLC
$24.5 - $26
North Chicago, IL
This critical role involves working closely with Subject Matter Experts (SMEs) from Distribution Centers, the change management team, and personnel from a Germany-based facility to revise and create documentation. The worker will report to an on-site team member and will be required to actively initiate communications, problem-solve, and manage their work efficiently in an iterative, collaborative environment.
Blue Star Partners LLC
Columbus, OH
The Document Specialist prepares, edits, files, and assembles various types of documentation such as reports, technical documents, records, or correspondence. Document Preparation: Prepare and edit documentation including reports, technical documents, records, and correspondence, ensuring accuracy and consistency.
CareWell Health
East Orange, NJ
Facilitates updates to the clinical documentation through interactions with physicians, nursing, HIM and coding staff and other peer to peer interactions, to ensure appropriate reimbursement for the level of service rendered to all patients with a DRG based payer. Improves the overall quality and completeness of clinical documentation by performing detailed concurrent, retrospective and post-bill reviews of the clinical documentation for quality improvement and financial impact on Inpatients.
Temple Health
Philadelphia, PA
Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. The Sr Coding and CDI Specialist has the overall responsibility for conducting in-depth reviews of clinical documentation to ensure compliance with coding guidelines, regulatory requirements, clinical validation, and overall accuracy of coding for the Temple University Health System.
Vertex Pharmaceuticals
$48 - $55
Remote, undefined
Agreeing to the Atrium Terms and Conditions, includes permission to use the email address and mobile phone number you provide during the application process or throughout the duration of your prospective or actual employment to notify you of job openings, profiles, articles, news, and other employment-related information, as well as to notify you of special promotions or additional products and services offered by us or our affiliates and partners. You will collaborate with cross-functional teams to identify areas for improvement, develop innovative solutions, and implement process changes that align with our strategic goals.
AAPC
Salt Lake City, UT
The specialist works closely with subject matter experts (SMEs), internal stakeholders, and learner support teams, and serves as a key resource for content-related inquiries. Who are we: AAPC (www.aapc.com), the nation’s largest and fasting growing training, certification, and solutions association in healthcare, supporting more than 200,000 members.
SMS Data Products Group, Inc.
Sumter, South Carolina
At SMS, we place a high value on quality of service, customer satisfaction, and best-of-breed policies and practices, resulting in CMMI Level 3 certification and ISO registrations including 9001:2015, 20000-1:2018, and ISO/IEC 27001:2013. With expertise in modernizing and optimizing legacy infrastructure and systems, ensuring operational efficiency, and designing, implementing, and managing secure environments, SMS supports business and mission goals with proficiency, quality, and integrity.
5TH HQ
Davie, FL
The Documentation Specialist is responsible for maintaining accurate laboratory documentation, supporting stability programs, assisting with finished product release, and ensuring all records are complete, compliant, and properly controlled. • Develop, generate, and edit controlled documents including Certificates of Analysis, reports, laboratory notebooks, and physical and chemist records (supporting QA Finished Product Release).
Ascension Health
Franklin, WI
Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
TBO Bank
Tampa, FL
Develop immersive learning experiences that can be delivered by team members and BPO partners alike—such as instructor-led workshops, virtual e-learning modules, microlearning bursts, and scenario-based simulations—to cater to diverse learning styles and maximize retention. Assist in the design and execution of a continuous QA audit program for SOP adherence, producing detailed compliance reports, identifying deviations, and driving corrective action plans and SOP revisions to mitigate risk and enhance consistency.
Huntsville Hospital Health System
Huntsville, Alabama
With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse.
Ascension
$82825 - $115453
Remote, undefined
Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Prime Controls
Lewisville, Texas
WSFS Bank
$48416 - $79541.75
Wilmington, DE
Work with customers and other loan team members to identify and resolve barriers to closing, which may include but not be limited to necessary insurance coverage, title endorsements, outstanding liens or clouds on title requiring resolution, outstanding taxes, and judgments against parties or property. In addition, the incumbent will manage preparation for documentation and closing needs of a diverse and complex portfolio of commercial loans and activities relating to commercial loans in connection with assigned transactions.
Expedient Staffing Solutions
Boston, MA
The FIRD Team manages market investment approval and account opening processes for markets requiring foreign investor registration and/or documentation to open cash and securities accounts or access preferential tax treatment. Team members liaise with BBH client servicing groups, external clients, and subcustodian providers to ensure clients complete market requirements efficiently and on time.
The Steely Group
Tampa, MD
Key Accountabilities:Responsible for the Quality review and approval of engineering and validation documentation to support requirements Installation Qualification (IQ), Operational Qualification (OQ), Performance Qualification (PQ), & Process Performance Qualification (PPQ); validation master plans, risk assessments, calibration and periodic reviews, etc. Participate with plant & external engineering resources on new installations & systems to ensure that factory, site, & commissioning documentation is in accordance with current Good Manufacturing Practices (cGMP) & supports validation.
InCharge Energy
$28 - $38
North Chesterfield, VA
You'll apply your experience with diagnostics, troubleshooting, and hardware support to ensure product reliability through lab testing, documentation, and collaboration with engineering teams. As part of InCharge's Technology Department, you'll work alongside our Hardware Product Development and QA teams to drive innovation, reliability, and operational readiness across our EV charging infrastructure.
SGA INC
Madison, New Jersey
Sort and prepare documentation (i.e. removal of staples, paper clips, etc.), scan the source documents and electronically file them in the allocated location. SGA is a Certified Women's Business Enterprise (WBE) celebrating over thirty years of service to our national client base for both permanent placement and consulting opportunities.
Harrell Enterprises
SAN ANTONIO, TX
The Records and Documentation Specialist is responsible for maintaining accurate digital records, organizing documents, and ensuring that company information is properly stored and accessible. This role supports business operations by ensuring data integrity and assisting with document management processes.
HireTalent
Bend, OR
Control record management including receipt, reconciliation, scanning and verification, record check-out/check-in and maintain scanned record back-ups. " Self-motivated with a positive attitude and ability to work with multi-functional groups in a fast-paced environment.
Yuma Regional Medical Center
Yuma, AZ
Recommends and implements, under collaboration and direction of Director and physician leadership, specific tools to support medical record clinical documentation including but not limited to forensic inpatient record assessment, analysis, and review; population of databases for statistical evaluation of same; coordinates future education projects; develops and implements plans for both formal and informal education of medical staff, nursing, and other clinical staff; identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation; facilitates multidisciplinary team in efforts for clinical documentation improvement. Utilizes knowledge of Core Measure and Patient Safety Indicators when reviewing and analyzing selected inpatient medical records for all of the following, including but not limited to: chief complaint; presentation; history of present illness; past medical, surgical, and social history; clinical status of patient; diagnostic tests, evaluations, and studies; clinical decision making; and treatment plan, in order to identify potential gaps in clinical documentation; meets established productivity targets for record review as determined by Director.
TalentBurst, Inc.
Bend, OR
Control record management including receipt, reconciliation, scanning and verification, record check-out/check-in and maintain scanned record back-ups. " Self-motivated with a positive attitude and ability to work with multi-functional groups in a fast-paced environment.
Wisedocs AI
Washington, DC
You will act as a subject-matter expert embedded directly into AI workflows, evaluating, correcting, and enhancing AI-generated medical outputs and actively seeing first-hand how human judgment shapes machine learning outcomes. As an integral part of our innovative and cutting-edge environment, you will gain direct exposure to how AI products are built, improved, and scaled in a real-world startup environment, working alongside our team of brilliant machine learning and tech engineers.
Tap Growth ai
$78728 - $86171
Fort Worth, TX
Ensure accuracy and quality of site documents included in the site initiation packets and . · Coordinate collection and processes essential trial documents between investigator sites .
ERMCO
undefined, undefined
ERMCO (Electric Research and Manufacturing Cooperative, Inc.) is a leading U.S. manufacturer of distribution transformers and engineered electrical solutions serving electric utilities, OEMs, and industrial customers across North America. The Engineering Documentation Specialist safeguards the traceability and integrity of all technical documentation, providing a structured and reliable information flow that supports efficient project execution and continuous improvement across the organization.
Moffitt Cancer Center
Tampa, Florida
The Clinical Documentation Specialist Senior assesses clinical documentation through extensive medical record review, deployment of artificial intelligence, and collaborating directly with the providers to clarify the documentation to accurately and completely reflect the patients’ medical conditions. Extensive collaboration with physicians, mid-levels, nursing staff, other patient care givers to include developing and delivering education, which will be accomplished with on-site meetings, zoom meetings, telephonic discussions, rounding and email.
Bishop
$19.25 - $20.5
Honolulu, HI
Responsibilities:Review signed loan documents for completeness and accuracy, work with branch partners to resolve any issues update reports and review data output for accuracy by validating to sign documents and/ loan matrices. Excellent data entry, including 10-key skills with high accuracy, in a high volume setting.
LoanBud
$50000 - $70000
Fort Lauderdale, FL
You'll collaborate with Business Lending Officers, borrowers, brokers, title/escrow, and lender counterparts to assemble, review, and perfect all documentation required for funding—maintaining momentum, clarity, and adherence to SBA SOP and lender policy. Entity & Legal Documentation: Review articles, bylaws/operating agreements, partnership/LLC docs; confirm authorized signers, resolutions, BOI/KYC items.
Raleigh General Hospital
Beckley, WV
Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. A Clinical Documentation Specialist RN who excels in this role: Reviews inpatient medical records to identify missing, vague, or incomplete documentation and ensures timely resolution of provider queries.
Kendall Bank
Overland Park, KS
The position's responsibilities comprise reviewing information from various resources, preparing loan documents for new and existing commercial and consumer loans, and maintaining healthy professional relationships with existing as well as prospective clients on whom the business is largely dependent. Today, we remain committed to providing every customer with an exceptional all-inclusive banking experience that combines big-bank expertise and technology with the trusted personal relationship only a local bank can provide.
Catholic Health System
Buffalo, NY
Summary: Under the direction of the Manager Clinical Documentation Integrity, the Lead Clinical Documentation Integrity Specialist is responsible for leading various training and operational matters including appropriate scheduling and coverage of cases, reconciling queries and DRG discrepancies, educating physicians, monitoring the program, and refining the process as needed, as well as training and mentoring new and current staff with regard to compliant documentation. Knowledge of ICD-10, current knowledge of coding clinics including recent changes/updates, and understanding of the various DRG methodologies (AP-DRG and MS-DRG) .
Midland Health
Midland, Texas
Registered Nurse – current license (ADN or BSN) with 5 years acute care experience or comparable degree in a healthcare-related discipline with 3-5 years recent coding experience and certification of one of the following preferred: Certified Coding Specialist (CCS), Certified Documentation Integrity Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS). • Concurrently queries the medical staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete physician documentation that supports the severity of patient illness and risk of mortality.
Catholic Health
$70000 - $95000
Melville, New York
Job Details: The Professional Fee (ProFee) Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity and acuity, risk profiles and professional fee billing. Pre-visit provider support – Provide support to providers through patient record reviews in advance of patient visits, focused on the following: Recapture of HCCs and other potential chronic diagnoses .
ANB Bank
$20.25 - $29.5
Colorado Springs, CO
This includes reviewing all file documentation for loan files including, but not limited to, applications, credit approval, flood determinations, title commitments and policies, collateral perfection documentation, hazard insurance, business entity documentation and other documents relating to the loan. - Maintains thorough understanding and continuing knowledge regarding, regulatory loan compliance, state laws, bank's credit policy, internal procedures, consumer disclosures, including but not limited to, TRID, RESPA, HMDA and any other overlapping areas of compliance related to loan documentation.