Clinical Documentation Specialist - Acute Care Experience Preferred
Northwell · Posted Apr 6, 2026
- Lake Success, New York, United States
- 1–3 years
Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided.
Compensation
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
Responsibilities
- Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.
- Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded.
- Works with physicians on assigned patient care units to clarify clinical documentation in the patient’s medical record through a concurrent review process throughout the patient’s inpatient stay.
- Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge.
- Ensures the level of service rendered to patients, and the patient’s severity of illness is accurately documented and recorded.
Requirements
- Bachelor of Science in Nursing
- Nice to have: CCDS
- Nice to have: CDIP