Clinical Documentation Specialist Overview
Required Education and Training To Become a Clinical Documentation Specialist
Best Schools to become a Clinical Documentation Specialist in U.S. 2024
Ultimate Medical Academy
In-State Tuition:$N/A
Out-of-State Tuition:$N/A
Admission Rate:N/A
Graduation Rate:50%
Total Enrollment:6,368
DeVry University-Illinois
In-State Tuition:$14,392
Out-of-State Tuition:$14,392
Admission Rate:43%
Graduation Rate:43%
Total Enrollment:26,384
University of Phoenix-Arizona
In-State Tuition:$9,552
Out-of-State Tuition:$9,552
Admission Rate:N/A
Graduation Rate:18%
Total Enrollment:88,891
NUC University
In-State Tuition:$6,448
Out-of-State Tuition:$8,160
Admission Rate:N/A
Graduation Rate:63%
Total Enrollment:26,720
Carrington College-Sacramento
In-State Tuition:$N/A
Out-of-State Tuition:$N/A
Admission Rate:N/A
Graduation Rate:46%
Total Enrollment:1,837
Ross College-Sylvania
In-State Tuition:$N/A
Out-of-State Tuition:$N/A
Admission Rate:N/A
Graduation Rate:33%
Total Enrollment:894
Clinical Documentation Specialist Job Description:
- Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries.
- Transcribe dictated reports and translate abbreviations into fully understandable form.
- Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.
Required Skills and Competencies To Become a Clinical Documentation Specialist
Job Duties for Clinical Documentation Specialists
Identify mistakes in reports and check with doctors to obtain the correct information.
Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
Technologies and Skills Used by Clinical Documentation Specialists
Medical software
- Healthcare common procedure coding system HCPCS
- eClinicalWorks EHR software
Video creation and editing software
- YouTube
Word processing software
- Boston Bar Systems Corporation Sonnet
- Microsoft Word
Basic Skills
- Listening to others, not interrupting, and asking good questions
- Reading work related information
Problem Solving
- Noticing a problem and figuring out the best way to solve it