Entry Level Clinical Documentation Specialist Jobs
New grad clinical documentation specialist jobs welcome recent graduates and entry level candidates with zero to two years of experience, where a strong internship background or portfolio of health record coursework can matter more than a long resume. Most openings are Healthcare & Medical Services, Biotechnology & Pharmaceuticals, and Insurance roles with employers like Beth Israel Lahey Health, Optum, and Medpace hiring at this level now.
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Showing 5 of 17+ Entry Level Clinical Documentation Specialist jobs
Job Summary:
MaineGeneral Health is excited to announce an opportunity for a Registered Nurse to join our team as a Clinical Documentation Specialist! In this role, you will partner closely with medical staff to ensure the accuracy and integrity of patient medical documentation. You will play a key part in the timely capture and recapture of Hierarchical Condition Categories (HCCs) each year, supporting high-quality patient care and regulatory compliance.Please note: This is an on-site position; remote work is not available.
Job Description:
Position: RN Clinical Documentation Specialist
Location: Alfond Center for Health, Augusta
Schedule: Full-time (40 hours/week)
Shift: Days
What You'll Do:
Conducts concurrent and retrospective medical record reviews to ensure accurate and specific documentation of diagnoses and procedures. Identifies errors and issues related to coding and documentation.
Collaborates with the coding staff to ensure that the medical record has the necessary documentation to support accurate coding.
Collaborates with interdisciplinary teams to assist with problem resolution, appropriate reimbursement, and systems/performance measures.
Provides consultation and education to organizational departments and committees to ensure regulatory compliance and optimum reimbursement.
What You Bring:
Maine state licensure as a Registered Nurse (RN) preferred
Certified Clinical Documentation Specialist (CCDS) through the Association for Clinical Documentation Improvement Specialists (ACDIS) or Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) preferred
Excellent customer service skills
Proficiency in a suite of Microsoft Office applications
Billing/coding experience helpful; medical terminology required
Ability to work collaboratively with Providers
Why Join MaineGeneral?
Competitive Pay and Comprehensive Benefits: Health, dental, vision, and wellness programs
Work-Life Balance: Earned time off, paid parental leave, and more
Financial Security: 403(b) retirement plan with up to 4% company match
Career Growth: Professional development and advancement opportunities
Student Loan Assistance: Potential reimbursement to help you thrive
Compensation Information:
$39.00 - $68.25
The hourly pay range shown represents the base pay range for this position. Individual pay is determined based on factors such as experience, qualifications, skills, and market considerations. In addition to base pay, eligible team members may earn additional compensation through shift, weekend, holiday, on-call, and other applicable differentials. We are proud to offer a competitive total rewards package designed to recognize our caregivers and support them in delivering exceptional care to the communities we serve.
Scheduled Weekly Hours:
40Job Exempt:
NoBenefits:
Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.
Physical Wellness:
We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
Employees have access to industry-leading leave for new parents.
A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.
Emotional Wellness:
When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.
Financial Wellness:
Access the wages you’ve already earned before payday with Payactiv, giving you greater flexibility over your finances.
Tuition Reimbursement is available to all employees to further develop skills and career.
We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.
Career Mobility:
Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community.
Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .
Job Summary:
MaineGeneral Health is excited to announce an opportunity for a Registered Nurse to join our team as a Clinical Documentation Specialist! In this role, you will partner closely with medical staff to ensure the accuracy and integrity of patient medical documentation. You will play a key part in the timely capture and recapture of Hierarchical Condition Categories (HCCs) each year, supporting high-quality patient care and regulatory compliance.Please note: This is an on-site position; remote work is not available.
Job Description:
Position: RN Clinical Documentation Specialist
Location: Alfond Center for Health, Augusta
Schedule: Full-time (40 hours/week)
Shift: Days
What You'll Do:
Conducts concurrent and retrospective medical record reviews to ensure accurate and specific documentation of diagnoses and procedures. Identifies errors and issues related to coding and documentation.
Collaborates with the coding staff to ensure that the medical record has the necessary documentation to support accurate coding.
Collaborates with interdisciplinary teams to assist with problem resolution, appropriate reimbursement, and systems/performance measures.
Provides consultation and education to organizational departments and committees to ensure regulatory compliance and optimum reimbursement.
What You Bring:
Maine state licensure as a Registered Nurse (RN) preferred
Certified Clinical Documentation Specialist (CCDS) through the Association for Clinical Documentation Improvement Specialists (ACDIS) or Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) preferred
Excellent customer service skills
Proficiency in a suite of Microsoft Office applications
Billing/coding experience helpful; medical terminology required
Ability to work collaboratively with Providers
Why Join MaineGeneral?
Competitive Pay and Comprehensive Benefits: Health, dental, vision, and wellness programs
Work-Life Balance: Earned time off, paid parental leave, and more
Financial Security: 403(b) retirement plan with up to 4% company match
Career Growth: Professional development and advancement opportunities
Student Loan Assistance: Potential reimbursement to help you thrive
Compensation Information:
$39.00 - $68.25
The hourly pay range shown represents the base pay range for this position. Individual pay is determined based on factors such as experience, qualifications, skills, and market considerations. In addition to base pay, eligible team members may earn additional compensation through shift, weekend, holiday, on-call, and other applicable differentials. We are proud to offer a competitive total rewards package designed to recognize our caregivers and support them in delivering exceptional care to the communities we serve.
Scheduled Weekly Hours:
40Job Exempt:
NoBenefits:
Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.
Physical Wellness:
We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
Employees have access to industry-leading leave for new parents.
A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.
Emotional Wellness:
When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.
Financial Wellness:
Access the wages you’ve already earned before payday with Payactiv, giving you greater flexibility over your finances.
Tuition Reimbursement is available to all employees to further develop skills and career.
We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.
Career Mobility:
Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community.
Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .
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Top Industries Hiring
- Healthcare & Medical Services15
- Biotechnology & Pharmaceuticals3
- Insurance2
Entry Level Clinical Documentation Specialist Jobs: Frequently Asked Questions
How do I get an entry level clinical documentation specialist job?
Employers hiring at this level look for familiarity with ICD-10 coding systems, electronic health records platforms, and medical terminology, which you can build through a health information management program or a clinical coding certificate. Candidates who can show accuracy and attention to detail in coursework or internship work stand out. Applying to hospital systems, outpatient clinics, and health IT vendors that explicitly list zero to two years of experience gives you the strongest starting point.
Which companies hire entry level clinical documentation specialists?
Companies hiring entry level clinical documentation specialists right now include Beth Israel Lahey Health, Optum, and Medpace, based on current listings on Migrate Mate as of September 2026. Hiring at this level tends to come from large hospital networks, outpatient care organizations, and health information management firms that have the training infrastructure to bring on candidates early in their careers.
Are there remote entry level clinical documentation specialist jobs?
Yes, though availability varies by employer and role type. About 23% of entry level clinical documentation specialist openings are remote or hybrid as of September 2026, making this one of the more flexible healthcare-adjacent fields for new candidates. Remote roles typically require a reliable home setup and comfort working independently within an electronic health records system.
Are these new grad clinical documentation specialist jobs?
Yes, this page includes new grad, recent graduate, and junior clinical documentation specialist roles. A posting is typically new-grad friendly when it welcomes zero to two years of experience, accepts internship or practicum work in place of full-time history, or notes that a relevant degree or certification is sufficient to apply. Looking for those signals in the job description is the quickest way to find roles suited to someone starting out.
Which industries hire the most entry level clinical documentation specialists?
Entry Level clinical documentation specialist roles concentrate in Healthcare & Medical Services, Biotechnology & Pharmaceuticals, and Insurance, based on current listings on Migrate Mate as of September 2026. These sectors drive entry level hiring because they process high volumes of patient records and rely on a steady pipeline of trained specialists to maintain coding accuracy and regulatory compliance.