Clinical Documentation Specialist Careers at Northwell Health - Lake Success, New York

Are you a Registered Nurse passionate about clinical documentation improvement? Northwell Health is hiring Clinical Documentation Specialists for remote positions based in Lake Success, New York. Join one of the nation's top health systems and make a real impact on patient care accuracy and revenue integrity. Jobs in Lake Success, New York don't get better than this – apply now for Clinical Documentation Specialist careers in Lake Success!

Role Overview

The Clinical Documentation Specialist (CDS) at Northwell Health plays a critical role in ensuring accurate clinical documentation supports the severity of illness, risk of mortality, and complexity of care. This remote RN position involves concurrent review of inpatient medical records for Medicare, Medicaid, and commercial payers. You'll generate physician queries, facilitate clarifications, and educate providers on documentation best practices. With Vizient experience preferred, this role demands expertise in ICD-10 coding and MS-DRG grouper logic. Perfect for RNs seeking Northwell Health hiring near me opportunities in New York.

Why This Role Matters in Healthcare

In today's complex healthcare environment, precise documentation directly impacts reimbursement, quality metrics, and patient outcomes. As a CDS, you'll bridge the gap between clinical care and coding, ensuring every patient's record reflects the true acuity of their condition. Northwell Health values specialists who can navigate regulatory compliance while driving revenue cycle efficiency.

Key Responsibilities at Northwell Health

• Facilitate clarification of clinical documentation ensuring accuracy and integrity throughout the medical record.
• Conduct concurrent inpatient reviews for all payers to support appropriate severity of illness documentation.
• Generate queries and engage in follow-up discussions with physicians for documentation clarification.
• Collaborate with physicians on patient care units through concurrent review processes.
• Ensure service levels, severity of illness, and risk of mortality are accurately captured.
• Follow up on CDI queries to confirm updates in patient charts pre-discharge.
• Educate medical staff on documentation opportunities affecting record accuracy and revenue.
• Input data into CDI software tracking query responses, trends, and audit results.
• Reconcile cases updating statuses, procedures, and diagnoses with providers.
• Demonstrate expertise in ICD-10 CM/PCS, MS-DRG, APR NY/National logic, and compliance.
• Communicate findings on potential missed diagnoses and their revenue implications.

These responsibilities position you at the forefront of Clinical Documentation Specialist jobs in Lake Success, New York, where your expertise directly supports Northwell's mission.

Qualifications & Requirements

• Graduate from an accredited School of Nursing (BSN required within 5 years).
• Current New York State Registered Professional Nurse license.
• CCDS, CDIP, or CCS certification preferred.
• 1-3 years relevant experience in clinical documentation or acute care nursing.
• Vizient experience highly preferred for software proficiency.
• Deep knowledge of ICD-10 coding, MS-DRG/APR grouper logic.
• Strong physician communication and query skills.
• Understanding of Medicare/Medicaid documentation requirements.

Northwell Health seeks mid-level professionals ready to excel in remote Clinical Documentation Specialist careers. If you have nursing background and coding passion, this is your chance for Northwell Health jobs in New York.

Salary, Benefits & Perks

Earn competitive salary in the $95,000-$125,000 range based on experience for this remote role. Northwell offers unbeatable benefits:

• Comprehensive health insurance with low premiums.
• Tuition reimbursement up to $10,000 annually.
• 401(k) with 4%+ match.
• Generous PTO starting at 25 days/year.
• Wellness incentives including fitness reimbursements.
• Remote work flexibility with home office stipend.
• Certification support for CCDS/CDIP.
• Employee discounts and family benefits.

Why Join Northwell Health?

Northwell Health, New York's largest health system, serves 11 million+ residents. As a Clinical Documentation Specialist, you'll enjoy stability, growth, and impact. Northwell Health hiring near me means accessing top-tier training, career advancement, and a supportive culture. Remote work from Lake Success, NY base offers work-life balance while contributing to premier healthcare. Join thousands thriving in jobs in Lake Success, New York.

Career Growth Opportunities

Advance to CDI Manager, Coding Supervisor, or Revenue Integrity Director. Northwell invests in your success with ongoing education and leadership tracks.

How to Apply

Ready for Clinical Documentation Specialist careers at Northwell Health? Click 'Apply Now' to submit your resume. Northwell reviews applications promptly – don't miss this remote opportunity in Lake Success, New York. Northwell Health jobs fill fast!

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