Acute Care CDI Specialist — Drive Documentation Excellence

Jobtome; Lynwood (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Benefits package

Incentives

401k contribution

Job summary

Optum, a part of UnitedHealth Group, seeks a CDI Specialist to review inpatient records within 24–48 hours of admission, identifying documentation gaps to ensure accurate coding reflecting severity and care acuity.

You will collaborate with physicians to clarify documentation, lead education initiatives, and coordinate with HIM/CDI teams to improve DRG alignment and documentation practices.

Qualifications

• Associate's degree required.
• 5+ years of acute care RN experience or CDI experience for Medical Graduate.
• Advanced proficiency in clinical medicine, pathophysiology and pharmacology.
• Advanced proficiency communicating with physicians.
• Intermediate PC skills: Word, Excel, PowerPoint and EMR.

Responsibilities

• Provides expert level review of inpatient clinical records within 24-48 hours of admit.
• Identifies gaps in documentation that affect code accuracy.
• Communicates with providers to obtain documentation specificity.
• Leads physician education strategies to improve clinical documentation.
• Engages with CDI and HIM teams to reconsolidate DRGs and monitor queries.
• Uses Optum360 tools for documentation of clarifications.

Skills

Acute care RN

CDI experience

Clinical medicine

Physician communication

MS Office / EMR

Education

Associate's degree

BSN (preferred for RN)

Tools

MS Word

Excel

PowerPoint

EMR

Job description

Optum, a part of UnitedHealth Group, seeks a CDI Specialist to review inpatient records within 24–48 hours of admission, identifying documentation gaps to ensure accurate coding reflecting severity and care acuity.

You will collaborate with physicians to clarify documentation, lead education initiatives, and coordinate with HIM/CDI teams to improve DRG alignment and documentation practices.