Clinical Documentation Specialist Jobs in New York
Clinical Documentation Specialist jobs in New York are in strong demand, concentrated across major academic medical centers, large health systems, and specialty hospitals, with openings at every level from entry-level coders to senior CDI program leads. New York City, Albany, and Buffalo account for the heaviest hiring activity, anchored by institutions like NewYork-Presbyterian, Northwell Health, and Montefiore Medical Center. The most sought-after specialties in New York include inpatient clinical documentation improvement, HCC coding for value-based care programs, and quality reporting. Find a role that fits below and apply directly.
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Showing 5 of 15+ Clinical Documentation Specialist jobs
Position Overview
United Health Services (UHS) is seeking a Clinical Documentation Improvement (CDI) Specialist – CDI Coder to support accurate, complete, and compliant clinical documentation across the inpatient setting. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder collaborates with physicians, coders, and interdisciplinary care teams to ensure medical records accurately reflect patient acuity, severity of illness, risk of mortality, and services provided. Through concurrent and retrospective chart reviews, this role helps optimize coding accuracy, reimbursement integrity, quality reporting, and regulatory compliance.
The Clinical Documentation Improvement (CDI) Specialist – CDI Coder serves as a key resource for documentation excellence by identifying opportunities for clarification, educating providers on documentation best practices, and facilitating compliant clinical queries. This position plays a critical role in supporting accurate ICD-10-CM/PCS coding, MS-DRG assignment, and organizational quality initiatives while promoting data integrity and improved patient care outcomes.
Primary Department, Division, or Unit:
Clinical Documentation Improvement, UHS Revenue Cycle Operations
Primary Work Shift:
Day
Regular Scheduled Weekly Hours:
40
Compensation Range:
$30.58 - $45.86 per hour, depending on experience
Job Responsibilities
- Review inpatient clinical documentation to improve the accuracy, completeness, and quality of the medical record.
- Conduct initial and follow-up documentation reviews to ensure diagnoses, procedures, and clinical indicators are appropriately documented.
- Collaborate with physicians and other healthcare providers to clarify documentation and support accurate clinical representation of patient care.
- Develop and issue compliant, clinically supported provider queries in accordance with AHIMA, ACDIS, and organizational guidelines.
- Assign and validate working MS-DRG and APR-DRG classifications through concurrent documentation review and coding analysis.
- Serve as a clinical documentation resource by educating providers and healthcare professionals on documentation best practices and ICD-10 requirements.
- Partner with coding staff to resolve documentation and coding questions and ensure accurate reimbursement and quality reporting.
- Monitor documentation to support appropriate severity of illness, risk of mortality, quality metrics, and reimbursement outcomes.
- Meet established productivity and accuracy standards while maintaining thorough and timely chart reviews.
- Participate in continuous quality improvement initiatives, departmental meetings, and ongoing professional development to maintain required credentials and industry knowledge.
Position Qualifications
Minimum Required:
- RHIT certification with an Associate degree in HIT.
- Minimum 2–5 years of inpatient hospital coding experience.
- RHIT certification.
Preferred:
- RHIA certification with a Bachelor’s Degree in HIT.
- RHIA certification.
- CCS (Certified Coding Specialist) – AHIMA-preferred.
- CIC (Certified Inpatient Coder) - AAPC-preferred.
- CCDS (Certified Clinical Documentation Specialist) – ACDIS-preferred.
Why You’ll Love Working at UHS
At United Health Services (UHS), we believe every connection—to patients, to purpose, to each other—makes a difference. That’s why we’re intentional about supporting our team in ways that go beyond the job. Whether through meaningful benefits, personal growth, or fun along the way, we’re here to help you thrive in work and life.
A Culture of Connection – We support each other like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside of work, we stay connected through team events like trivia, trunk-or-treat, volunteer days, our staff choir, or seasonal celebrations.
Comprehensive Benefits for Life & Family – We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week. With flexible plan options and coverage tiers, you can choose what fits your life best. Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.
Well-Being & Financial Security – From day one, PTO starts accruing so you can take time to recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards. When life gets tough, we’re here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.
Growth That Moves with You – With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can feel confident your work is valued and rewarded fairly.
A Place to Call Home – Located in New York’s Southern Tier, UHS offers more than a career—we offer a lifestyle. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities.
About United Health Services
United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region’s population, produces $1.3 billion a year in total economic impact, and boasts a workforce of more than 6,300 employees and providers.
At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve. Every employee plays a meaningful role in fulfilling our mission—we’d love for you to consider joining us!
United Health Services is an Equal Opportunity Employer.
Position Overview
United Health Services (UHS) is seeking a Clinical Documentation Improvement (CDI) Specialist – CDI Coder to support accurate, complete, and compliant clinical documentation across the inpatient setting. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder collaborates with physicians, coders, and interdisciplinary care teams to ensure medical records accurately reflect patient acuity, severity of illness, risk of mortality, and services provided. Through concurrent and retrospective chart reviews, this role helps optimize coding accuracy, reimbursement integrity, quality reporting, and regulatory compliance.
The Clinical Documentation Improvement (CDI) Specialist – CDI Coder serves as a key resource for documentation excellence by identifying opportunities for clarification, educating providers on documentation best practices, and facilitating compliant clinical queries. This position plays a critical role in supporting accurate ICD-10-CM/PCS coding, MS-DRG assignment, and organizational quality initiatives while promoting data integrity and improved patient care outcomes.
Primary Department, Division, or Unit:
Clinical Documentation Improvement, UHS Revenue Cycle Operations
Primary Work Shift:
Day
Regular Scheduled Weekly Hours:
40
Compensation Range:
$30.58 - $45.86 per hour, depending on experience
Job Responsibilities
- Review inpatient clinical documentation to improve the accuracy, completeness, and quality of the medical record.
- Conduct initial and follow-up documentation reviews to ensure diagnoses, procedures, and clinical indicators are appropriately documented.
- Collaborate with physicians and other healthcare providers to clarify documentation and support accurate clinical representation of patient care.
- Develop and issue compliant, clinically supported provider queries in accordance with AHIMA, ACDIS, and organizational guidelines.
- Assign and validate working MS-DRG and APR-DRG classifications through concurrent documentation review and coding analysis.
- Serve as a clinical documentation resource by educating providers and healthcare professionals on documentation best practices and ICD-10 requirements.
- Partner with coding staff to resolve documentation and coding questions and ensure accurate reimbursement and quality reporting.
- Monitor documentation to support appropriate severity of illness, risk of mortality, quality metrics, and reimbursement outcomes.
- Meet established productivity and accuracy standards while maintaining thorough and timely chart reviews.
- Participate in continuous quality improvement initiatives, departmental meetings, and ongoing professional development to maintain required credentials and industry knowledge.
Position Qualifications
Minimum Required:
- RHIT certification with an Associate degree in HIT.
- Minimum 2–5 years of inpatient hospital coding experience.
- RHIT certification.
Preferred:
- RHIA certification with a Bachelor’s Degree in HIT.
- RHIA certification.
- CCS (Certified Coding Specialist) – AHIMA-preferred.
- CIC (Certified Inpatient Coder) - AAPC-preferred.
- CCDS (Certified Clinical Documentation Specialist) – ACDIS-preferred.
Why You’ll Love Working at UHS
At United Health Services (UHS), we believe every connection—to patients, to purpose, to each other—makes a difference. That’s why we’re intentional about supporting our team in ways that go beyond the job. Whether through meaningful benefits, personal growth, or fun along the way, we’re here to help you thrive in work and life.
A Culture of Connection – We support each other like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside of work, we stay connected through team events like trivia, trunk-or-treat, volunteer days, our staff choir, or seasonal celebrations.
Comprehensive Benefits for Life & Family – We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week. With flexible plan options and coverage tiers, you can choose what fits your life best. Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.
Well-Being & Financial Security – From day one, PTO starts accruing so you can take time to recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards. When life gets tough, we’re here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.
Growth That Moves with You – With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can feel confident your work is valued and rewarded fairly.
A Place to Call Home – Located in New York’s Southern Tier, UHS offers more than a career—we offer a lifestyle. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities.
About United Health Services
United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region’s population, produces $1.3 billion a year in total economic impact, and boasts a workforce of more than 6,300 employees and providers.
At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve. Every employee plays a meaningful role in fulfilling our mission—we’d love for you to consider joining us!
United Health Services is an Equal Opportunity Employer.
See All 15 Clinical Documentation Specialist Jobs in New York
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Find JobsClinical Documentation Specialist Jobs by City in New York
Where New York roles are concentrated, by current openings.
Clinical Documentation Specialist Job Market in New York
A snapshot from current New York openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Science & Research
What New York Employers Look For
The qualifications that appear most often in clinical documentation specialist jobs across New York.
- Registered Health Information Technician or Registered Health Information Administrator credential preferred by New York employers
- Minimum two years of clinical documentation or medical coding experience in an acute care setting
- Proficiency in ICD-10-CM and ICD-10-PCS coding systems with demonstrated accuracy
- Experience using electronic health record platforms such as Epic or Cerner
- Knowledge of clinical documentation improvement methodology and DRG optimization
- Strong written communication skills for concurrent physician query completion and response tracking
Clinical Documentation Specialist Jobs in New York: Frequently Asked Questions
How do you become a clinical documentation specialist in New York?
The standard path in New York is to earn a health information management or nursing degree, gain clinical or coding experience, and then obtain a nationally recognized credential such as the Certified Clinical Documentation Specialist from the Association of Clinical Documentation Integrity Specialists or the Registered Health Information Technician through AHIMA. New York does not issue a state-specific license for this role, so employers rely on these national credentials as the primary benchmark for hiring decisions.
How much do clinical documentation specialists make in New York?
Clinical documentation specialists in New York earn a median of about $61,720 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $40,730 for the lowest 10% to over $101,940 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire clinical documentation specialists in New York?
Employers hiring clinical documentation specialists in New York right now include Catholic Health, NYC Health + Hospitals, and Montefiore St. Luke's Cornwall, based on current listings on Migrate Mate as of October 2026. New York's density of large academic medical centers and regional health systems means steady openings across both inpatient hospital settings and affiliated outpatient networks throughout the state.
Which New York cities have the most clinical documentation specialist jobs?
Buffalo, Melville, and New York have the most clinical documentation specialist openings in New York. New York City leads because of its concentration of major academic medical centers and multi-hospital health systems, while Albany and Buffalo generate consistent demand through regional health networks and state government-affiliated facilities that require ongoing documentation compliance and quality reporting support.
Are there remote clinical documentation specialist jobs in New York?
Yes, and more than most clinical roles. About 50% of clinical documentation specialist openings tied to New York are remote or hybrid as of October 2026, reflecting how much of the work involves chart review and physician querying through electronic health records rather than bedside presence. Concurrent review and coding audit functions are the positions most frequently posted as fully remote.
How can I get hired as a clinical documentation specialist in New York with little or no experience?
The most realistic entry path is transitioning from a medical coding or health information management role, both of which are well-represented in New York's large hospital systems. Northwell Health and NewYork-Presbyterian run structured health information and coding associate programs that accept candidates with an RHIT credential and limited hands-on experience. Earning the CCDS credential while working as a coder or clinical data analyst strengthens a candidate's profile considerably for New York employers making their first CDI hire.
Where can I find and apply to clinical documentation specialist jobs in New York?
You can find and apply to clinical documentation specialist jobs in New York on Migrate Mate, which lists current New York openings. Search the listings for roles that match your experience and specialty, then apply directly to the ones that fit.
See All 15 Clinical Documentation Specialist Jobs in New York
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