Acute Care CDI Specialist: Improve Documentation & Outcomes

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

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k

Job summary

Optum is seeking a CDI Specialist to review inpatient records within 24-48 hours of admission and guide documentation improvement. You will clarify diagnoses with physicians, conduct rounds, and lead education efforts to improve coding accuracy and patient care.

Ideal candidates have 5+ years in acute care RN roles or CDI experience, strong clinical knowledge, and proficiency with Windows-based tools and EMR systems. A BSN and relevant certifications are preferred.

Qualifications

• RN or medical graduate with CDI experience
• 5+ years of acute care hospital clinical RN experience OR CDI experience for medical grads
• Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology
• Advanced level of proficiency communicating & working closely with Physicians
• Proficient PC skills in Windows environment: Word, Excel, PowerPoint; EMR experience

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit and identify gaps for accurate code assignment
• Follow up daily with providers to obtain needed documentation specificity
• Communicate with physicians at all levels to clarify diagnoses based on illness severity and mortality risk
• Conduct rounds with physicians and provide DRG lists to Care Coordination
• Lead physician education initiatives to improve clinical documentation
• Provide timely feedback on opportunities for improvement in documentation
• Utilize Optum CDI 3D technology and approved clarification forms
• Collaborate with HIM Coding Professionals and Physician Advisor as needed
• Partner with Care Coordination and Quality Management to drive CDI initiatives

Skills

RN experience

Clinical medicine proficiency

Physician communication

PC skills (Windows, Word, Excel, Power

Education

Associate's degree

BSN degree

CCDS

CDIP

CCS

CAC certification/experience

Tools

Microsoft Word

Excel

PowerPoint

EMR

Job description

Optum is seeking a CDI Specialist to review inpatient records within 24-48 hours of admission and guide documentation improvement. You will clarify diagnoses with physicians, conduct rounds, and lead education efforts to improve coding accuracy and patient care.

Ideal candidates have 5+ years in acute care RN roles or CDI experience, strong clinical knowledge, and proficiency with Windows-based tools and EMR systems. A BSN and relevant certifications are preferred.