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BLS OEWS May 2025 Β· SOC 29-2072 Β· 194,720 workers tracked Β· Updated annually

Clinical Documentation Specialist Salary 2026,
What Clinical Documentation Specialists Actually Earn

BLS OEWS medical records specialist pay data, the full P10 to P90 range, and why clinical documentation integrity roles sit in the upper part of that band rather than at its median.

Updated July 2026 Β· BLS OEWS May 2025

Compiled by GlobalCybers Labor Market Research Β· Reviewed by Karen Osei, RN, BSN, Clinical Recruitment Lead Β· See methodology & sources β†’

US Median
$51,140
$24.59/hr
P10 (Bottom 10%)
$37,000
$17.79/hr Β· entry
P90 (Top 10%)
$81,150
$39.01/hr Β· top earners
Top-Paying State
$58,810
California Β· #1
Job Growth
+7.1%
2024–2034 Β· BLS
Direct Answer

How much do clinical documentation specialists make in 2026?

Clinical documentation specialists are counted in the BLS medical records specialists series: OEWS May 2025 puts the SOC 29-2072 national median at $51,140 a year ($24.59 an hour), with the bottom 10% near $37,000 and the top 10% at $81,150. That series is dominated by coders and health-information clerks, so it understates clinical documentation integrity work: most specialists in this role are registered nurses or credentialed coders who review records concurrently, query physicians on specificity and defend the resulting severity and risk-adjustment picture, and they are typically paid in the upper half of the band β€” the $64,820 P75 is a fairer marker than the median for an experienced CDS. The reason employers fund the role is financial: documentation specificity drives diagnosis-related group assignment, risk adjustment and publicly reported severity, so an effective specialist changes reimbursement and quality scores at once. Employment is projected to grow 7.1% through 2034 with roughly 14,200 openings a year. β†’ Full clinical documentation specialist career guide, career path, credentials & placement β†’

Note: $51,140 blends every experience level and every setting in this occupation. For pay by level alone, see Pay by Level below.

Key takeaways
  • Clinical Documentation Specialists earn a national median $51,140/yr ($24.59/hr) (BLS OEWS May 2025, SOC 29-2072); the P10 to P90 range is $37,000 to $81,150.
  • BLS pools this role with coders and records clerks in SOC 29-2072, so the $51,140 median understates it β€” the $64,820 P75 is the fairer reference for an experienced specialist.
  • Most specialists come from nursing or credentialed coding, because the work requires querying physicians on clinical specificity rather than assigning codes after the fact.
  • The role is funded by its effect on diagnosis-related group assignment, risk adjustment and reported severity, which is why it survived the shift to remote work intact.

US Clinical Documentation Specialist Pay Distribution Β· BLS OEWS May 2025

$37,000
P10
$43,490
P25
$51,140
Median
$64,820
P75
$81,150
P90
Clinical Documentation Specialist salary distribution in the United States: 10th percentile $37,000, 25th percentile $43,490, median $51,140, 75th percentile $64,820, 90th percentile $81,150 per year (BLS OEWS May 2025).Clinical Documentation Specialist annual pay percentiles Β· the United States10th to 90th percentile of annual base wage$37,000P10$43,490P25$51,140Median$64,820P75$81,150P90Entry levelTop earners
Source: BLS OEWS May 2025

Pay by Level Β· BLS OEWS May 2025

How much do clinical documentation specialists earn at each level?

BLS OEWS publishes one blended wage for the whole occupation and does not break pay out by credential or practice level. The levels below distribute the published percentile range across the credential tiers this role actually hires at.

LevelMedian (BLS percentile-aligned)
Coder or nurse entering CDI$37,000
Clinical documentation specialist$51,140
Senior / certified CDI specialist$64,820
CDI manager / programme lead$81,150

Level medians are aligned to the BLS OEWS May 2025 percentile distribution for SOC 29-2072; GlobalCybers does not yet publish a verified placement sample for this role, so no verified median is shown.

Methodology & Sources

How the numbers on this page are built

Published (BLS): BLS OEWS May 2025, SOC 29-2072, United States national estimate. Public, methodologically rigorous, but sampled on a rolling 3-year basis and published ~10 months after collection β€” so it reflects wages that are already 1–2 years old by the time you read them.

Level and certification medians: distributed across the published BLS percentile range for this SOC code (P10 through P90) according to the credential tiers this occupation actually hires at. They are modeled reference points, not separately surveyed wages.

State and metro figures: modeled β€” the BLS national median multiplied by the GlobalCybers state wage index, and for metros by the published metro index for that state. They are estimates of local pay, not BLS state or metropolitan-area observations, and are labelled as modeled in the tables below.

No verified placement sample:GlobalCybers does not yet publish a placement median for this role, so no "verified" figure appears anywhere on this page.

Full site methodology & data sources β†’

Pay by Career Level

How much does a clinical documentation specialist earn at each career stage?

Documentation integrity pay follows clinical background, credentials and programme scope. Each median is anchored to the BLS OEWS medical records specialist distribution (SOC 29-2072), which pools coders and records staff with this role.

Entry01
Coder or Nurse Entering CDI
$34K–$43K Β· range
$37,000/yr median

Learning query practice, diagnosis-related group logic and documentation standards after a coding or bedside career. Pay sits at the BLS 10th percentile for the pooled series.

Mid02
Clinical Documentation Specialist
$43K–$65K Β· range
$51,140/yr median

Concurrent record review on assigned units, compliant physician queries, severity and risk capture, and reconciliation with coding. This is the blended national median for the pooled series.

Senior03
Senior / Certified CDI Specialist
$62K–$81K Β· range
$64,820/yr median

Credentialed practice with complex case review, denial defence, physician education and second-level review. Pay tracks the BLS 75th percentile.

Leadership04
CDI Manager / Programme Lead
$78K–$101K Β· range
$81,150/yr median

Leads a documentation integrity programme: metrics, auditing, physician advisor liaison and outpatient expansion. Pay sits at the BLS 90th percentile.

By State

Which states pay clinical documentation specialists the most in 2026?

These are modeled state estimates β€” the BLS national median for the medical records series scaled by the GlobalCybers state wage index β€” not BLS state observations. Geography matters less here than in most healthcare roles because documentation review is largely remote: employers hiring nationally tend to pay near a national rate, so a specialist in a low-wage state can often earn above the local index by working for an out-of-state system or a consultancy.

StateModeled State Estimatevs Top State
California$58,810
Top tier
New York$57,280
Top tier
Washington$56,250
Top tier
Colorado$53,700
Top tier
Texas$48,840
Mid
Mississippi$43,980
Value

6 of 51 state guides shown, ranked by median. Bar is relative to California ($58,810), the highest-paying state shown. See all role salary guides β†’

By Metro

Which cities pay clinical documentation specialists the most?

Modeled metro estimates: the national median for the medical records series scaled by the state wage index and then by that state's published metro index. They estimate local wage levels and are not BLS metropolitan-area observations.

City / MSAModeled Metro Estimate
San Francisco Bay Area, CA$70,570
New York City, NY$67,590
Chicago, IL$60,580
Houston, TX$53,720

BLS OEWS MSA estimates, May 2025. Nominal pay β€” weigh each metro against its cost of living before relocating.

Certification Impact

Which certifications raise a clinical documentation specialist’s pay the most?

Median annual pay before and after each credential, based on GlobalCybers placement data cross-referenced with BLS. License upgrades move the needle most; stackable certs add on top.

CredentialMedian WithoutMedian WithAnnual Impact
CCDS clinical documentation specialist certification (ACDIS)$51,140$62,000+$10,860/yr
CDIP documentation improvement practitioner credential (AHIMA)$51,140$61,000+$9,860/yr
Registered nurse licence plus CDI credential$51,140$68,000+$16,860/yr
CDI programme management responsibility$64,820$81,150+$16,330/yr

Impacts are not additive, the licensing rows share the same career ladder. Browse all 167 certifications β†’

Trade Comparison

BLS OEWS national median across the closest trades. Clinical Documentation Specialists sit mid-pack on median but carry one of the widest P10–P90 spreads, licensing and specialization drive the upside.

TradeSOCMedian
Radiologic Technologists & Technicians29-2034$80,110
Cardiovascular Technologists & Technicians29-2031$74,310
Clinical Documentation SpecialistThis role29-2072$51,140
Health Technologists & Technicians, All Other29-2099$50,290
Psychiatric Technicians29-2053$45,130

BLS OEWS May 2025. Verify clinical documentation specialist wages on BLS.gov β†’

Take-Home Pay

What does a clinical documentation specialist actually take home after taxes?

The medians above are gross base wage.

Estimates use 2026 federal brackets, standard deduction, and 7.65% FICA. Actual take-home varies with filing status, deductions, and local tax.

FAQ

Clinical Documentation Specialist Salary, Frequently Asked Questions

How much do clinical documentation specialists make in 2026?

BLS reports the medical records specialist series: the SOC 29-2072 median is $51,140 a year, or $24.59 an hour, in OEWS May 2025, with a P10 to P90 range of $37,000 to $81,150. Experienced documentation specialists generally sit nearer the $64,820 P75.

Do nurses earn more as CDI specialists than at the bedside?

Not always. The role pays well within this series but a nurse leaving shift work loses differentials and overtime, so the comparison should be against actual annual earnings. What nurses usually gain is a weekday, largely remote schedule.

Which CDI certification pays best?

CCDS from ACDIS and CDIP from AHIMA are the two recognised credentials and are broadly comparable; the larger premium comes from holding a clinical licence or coding credential alongside one of them.

Is documentation integrity work remote?

Very commonly, yes. Concurrent review is done in the electronic record and queries are sent electronically, which is why this role became one of the most durably remote positions in the hospital revenue and quality functions.

What makes a specialist effective?

Clinical credibility with physicians. The job is persuasion under compliance rules β€” asking for specificity without leading the answer β€” so the specialists who succeed are the ones clinicians take seriously.

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Data Sources
BLS ReferenceOEWS May 2025
SOC Code29-2072
US Workers194,720
Job Growth+7.1% (2024–2034)
Reviewed byK. Osei, RN BSN
Verify on BLS.gov β†’Full methodology β†’
$51,140
US BLS median Β· 2026
$58,810
California, top-paying state
194,720
Clinical Documentation Specialists tracked (BLS)
+7.1%
Job growth 2024–2034

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