Documentation Specialist Jobs
Documentation Specialist jobs are open across healthcare, technology, manufacturing, finance, and government, at every level from entry-level to senior and lead, with specializations in technical writing, regulatory compliance documentation, and medical records. Find a role that fits from the openings below and apply directly.
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Showing 5 of 98+ Documentation Specialist jobs
Location
Salisbury, MD
Facility
TidalHealth Corporate
Department
Health Information Management
Schedule - Shift - Hours
Full Time - Monday - Friday - 6:00 am to 2:30 pm
Req #:
36748
Salary
$75,670.40 - $121,076.80 / Annually
Why work at TidalHealth?
Join a triple 'A' rated team where clinical excellence meets a coastal lifestyle. At TidalHealth, you’ll be part of an award-winning network spanning Maryland and Delaware, recognized by the Leapfrog Hospital Safety Guide for our unwavering commitment to patient care. Whether your expertise lies in specialized clinical fields like neurosurgery, academic mentorship through our graduate medical programs, or the critical professional and support roles that keep our network thriving, we provide the tools and tuition assistance you need to excel.
Clinical Documentation Specialist Position Summary
The Clinical Documentation Integrity (CDI) Specialist ensures accurate and complete provider-based clinical documentation at TidalHealth. This position analyzes patients' clinical status, treatment plans, and medical history to identify documentation improvement opportunities. The role involves thorough chart reviews and collaboration with providers, nurses, consultants, and HIM coding staff to ensure proper reimbursement and accurate clinical data. CDI Specialists audit and monitor key quality indicators such as MHAC/PPCs, PSIs, HACs, and mortality reviews. The Specialist works closely with healthcare teams to ensure compliance with coding standards and regulatory requirements. The CDI Specialist also communicates with providers using verbal and electronic queries to clarify or improve documentation in line with AHIMA guidelines. The Specialist utilizes ICD-10 coding guidelines and applies the guidelines during documentation evaluations. The role includes developing tools and education plans to support accurate provider documentation. CDI Specialists help design workflows for documentation improvement and provide training for staff and new employees.
Education
Bachelor’s degree in nursing (BSN) is required, or relevant clinical CDI experience may be considered.
Required License and/or Certifications
- Licensed as a Registered Nurse (RN) in the state of residency
- Certified Clinical Document Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP) is required.
- CCS, RHIT or RHIA is preferred.
Required experience:
- Minimum of one (1) year in inpatient coding and/or CDI experience
- Previous experience utilizing Microsoft Office products and EMR
Preferred Experience
- Experience in an acute care health facility
- Previous medical record coding/documentation auditing experience
- Experience with APR DRG & MS-DRG payment systems
- Experience with ICD10 coding methodology, coding guidelines and Clinical documentation integrity programs
- Previous experience with auditing quality measures – PSIs, HACs, Mortality, and MHAC/PPCs.
- Experience with EPIC and 3m 360/CDI Engage One
Clinical Documentation Specialist Work Schedule
- Primarily Day shift Monday – Friday.
- Hybrid- Remote position
- Evening and weekend work as needed.
Clinical Documentation Specialist Benefits
Benefits: We provide a robust benefits suite for our eligible team members (36+ hours for 12-hour shifts; 37.5+ hours for standard shifts):
- Health: Medical (including HSA), Dental, Vision, & Prescription
- Wealth: Matching 403(b), Healthcare FSAs, & Dependent Care FSAs
- Growth: $5,000 Tuition Assistance & Certification support
- Balance: Generous PTO and Holidays, Onsite Child Care, Pet Insurance
- Income Protection & Leave: Employer-Paid Short-Term Disability, Paid Leave Program, & Long-Term Disability (LTD for FT)
- Life & Security: Employer-paid Life and additional voluntary benefits such as Accident, Critical Care, additional Life, and more
Location
Salisbury, MD
Facility
TidalHealth Corporate
Department
Health Information Management
Schedule - Shift - Hours
Full Time - Monday - Friday - 6:00 am to 2:30 pm
Req #:
36748
Salary
$75,670.40 - $121,076.80 / Annually
Why work at TidalHealth?
Join a triple 'A' rated team where clinical excellence meets a coastal lifestyle. At TidalHealth, you’ll be part of an award-winning network spanning Maryland and Delaware, recognized by the Leapfrog Hospital Safety Guide for our unwavering commitment to patient care. Whether your expertise lies in specialized clinical fields like neurosurgery, academic mentorship through our graduate medical programs, or the critical professional and support roles that keep our network thriving, we provide the tools and tuition assistance you need to excel.
Clinical Documentation Specialist Position Summary
The Clinical Documentation Integrity (CDI) Specialist ensures accurate and complete provider-based clinical documentation at TidalHealth. This position analyzes patients' clinical status, treatment plans, and medical history to identify documentation improvement opportunities. The role involves thorough chart reviews and collaboration with providers, nurses, consultants, and HIM coding staff to ensure proper reimbursement and accurate clinical data. CDI Specialists audit and monitor key quality indicators such as MHAC/PPCs, PSIs, HACs, and mortality reviews. The Specialist works closely with healthcare teams to ensure compliance with coding standards and regulatory requirements. The CDI Specialist also communicates with providers using verbal and electronic queries to clarify or improve documentation in line with AHIMA guidelines. The Specialist utilizes ICD-10 coding guidelines and applies the guidelines during documentation evaluations. The role includes developing tools and education plans to support accurate provider documentation. CDI Specialists help design workflows for documentation improvement and provide training for staff and new employees.
Education
Bachelor’s degree in nursing (BSN) is required, or relevant clinical CDI experience may be considered.
Required License and/or Certifications
- Licensed as a Registered Nurse (RN) in the state of residency
- Certified Clinical Document Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP) is required.
- CCS, RHIT or RHIA is preferred.
Required experience:
- Minimum of one (1) year in inpatient coding and/or CDI experience
- Previous experience utilizing Microsoft Office products and EMR
Preferred Experience
- Experience in an acute care health facility
- Previous medical record coding/documentation auditing experience
- Experience with APR DRG & MS-DRG payment systems
- Experience with ICD10 coding methodology, coding guidelines and Clinical documentation integrity programs
- Previous experience with auditing quality measures – PSIs, HACs, Mortality, and MHAC/PPCs.
- Experience with EPIC and 3m 360/CDI Engage One
Clinical Documentation Specialist Work Schedule
- Primarily Day shift Monday – Friday.
- Hybrid- Remote position
- Evening and weekend work as needed.
Clinical Documentation Specialist Benefits
Benefits: We provide a robust benefits suite for our eligible team members (36+ hours for 12-hour shifts; 37.5+ hours for standard shifts):
- Health: Medical (including HSA), Dental, Vision, & Prescription
- Wealth: Matching 403(b), Healthcare FSAs, & Dependent Care FSAs
- Growth: $5,000 Tuition Assistance & Certification support
- Balance: Generous PTO and Holidays, Onsite Child Care, Pet Insurance
- Income Protection & Leave: Employer-Paid Short-Term Disability, Paid Leave Program, & Long-Term Disability (LTD for FT)
- Life & Security: Employer-paid Life and additional voluntary benefits such as Accident, Critical Care, additional Life, and more
See All 98+ Documentation Specialist Jobs
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Find Documentation Specialist JobsDocumentation Specialist Job Market
A snapshot from current openings nationwide, updated as new roles post.
Who's Hiring
- Beth Israel Lahey Health7
- Trinity Health5
- Hartford HealthCare4
- Innophos4
- Dometic3
Top Industries Hiring
- Healthcare & Medical Services48
- Biotechnology & Pharmaceuticals9
- Technology & Software9
- Banking & Financial Services7
- Insurance5
What Employers Look For
The qualifications that appear most often in documentation specialist jobs.
- Bachelor's degree in English, communications, technical writing, or a related field
- Proficiency with authoring tools such as MadCap Flare, Adobe RoboHelp, or Confluence
- Experience writing and editing SOPs, user manuals, or technical guides
- Familiarity with document management systems and version control practices
- Strong attention to detail with the ability to translate complex information clearly
- Knowledge of style guides such as Chicago Manual of Style, Microsoft Writing Style Guide, or APA
Tips for Your Documentation Specialist Job Search
Tailor your resume to document types
Hiring managers scan for the specific document types you've produced, whether SOPs, user manuals, regulatory submissions, or API guides. List each format by name in your experience bullets rather than grouping them under a vague umbrella like 'documentation.'
Apply early to roles that fit
Migrate Mate lists documentation specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight version control and authoring tools
Most job descriptions screen for specific tools before an interview happens. Name the authoring platforms, content management systems, and version control software you've used, such as MadCap Flare, Confluence, or Git, in a dedicated skills section.
Build a portfolio of real work samples
Employers hiring documentation specialists want to read your work before they call you. Redact proprietary content if needed, then post two or three samples that show different document types, your formatting choices, and how you structured complex information for a specific audience.
Prepare to demo your editing process
Many documentation specialist interviews include a live editing or rewrite exercise on an unclear or poorly formatted document. Practice explaining your revision decisions out loud, because interviewers care as much about how you think through a document as the final result you produce.
Negotiate using scope, not just title
Documentation specialist salary ranges vary widely based on the volume and complexity of documents you own. In negotiations, anchor your ask to the number of simultaneous projects, the audience complexity, or whether you are also expected to manage a style guide or train others.
Documentation Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most documentation specialists?
The companies hiring the most documentation specialists right now include Beth Israel Lahey Health, Trinity Health, and Hartford HealthCare, with the largest share of openings in Massachusetts, New York, and Florida, based on current listings on Migrate Mate as of June 2026. Healthcare systems, enterprise software companies, and federal contractors consistently maintain the highest ongoing demand for this role.
How many documentation specialist jobs are remote?
About 40% of documentation specialist openings are fully remote or hybrid as of June 2026, making it one of the more location-flexible roles in the administrative and technical fields. Sub-specializations in software documentation, API writing, and policy documentation tend to carry the highest share of fully remote postings compared to roles tied to physical records or on-site compliance work.
How do you become a documentation specialist?
Start by earning a degree in English, communications, technical writing, or a related field, then build a portfolio of writing samples that demonstrate clarity, structure, and audience awareness. Learn at least one industry-standard authoring tool and a document management system. Seek entry-level roles with titles like documentation coordinator, technical writer, or records specialist to build the domain-specific experience employers want at the specialist level.
Can you get a documentation specialist job with little experience?
Yes, you can break into documentation specialist roles with limited formal experience by leading with strong writing samples, even ones created for coursework, volunteer projects, or self-initiated work. Focus on postings that list 'entry-level' or 'zero to two years' in the requirements. Familiarity with any document management platform or authoring tool gives you a concrete edge over other applicants who can only offer writing ability alone.
What does the documentation specialist interview process look like?
Most documentation specialist interviews include an initial phone or video screen focused on your background and tools, followed by a hiring manager interview that goes deeper into document types you have owned. Many employers add a practical exercise, such as editing a poorly written procedure or structuring a short user guide from raw notes. Some roles, especially in regulated industries, also include a panel interview with the team you would be producing documents for.
Where can I find and apply to documentation specialist jobs?
You can find and apply to documentation specialist jobs on Migrate Mate, which lists current openings from across the United States in one place. Find roles that match your experience, specialization, and location preference, then apply directly to each listing from the page.
See All 98+ Documentation Specialist Jobs
Jump back to the full list of openings and apply to any documentation specialist role that fits.
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