Associate Clinical Document Improvement Specialist

UnitedHealth Group; Minnesota; On-site; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

UnitedHealth Group in Eden Prairie, MN seeks an Associate Clinical Document Improvement Specialist to enhance CDI through concurrent and retrospective chart reviews. The role focuses on optimal documentation and adherence to Medicare rules.

The candidate will leverage ICD-10 knowledge and Optum CDI tools, engaging with providers to obtain precise documentation and drive outcomes in a full-time day-shift setting.

Qualifications

• Three+ years of clinical medicine, pathophysiology, and pharmacology experience.
• Three+ years of ICD-10 coding, coding conventions, and guidelines.
• RN license (BSN) or Medical Degree required.

Responsibilities

• Perform concurrent and retrospective chart reviews to improve clinical documentation completeness.
• Stay updated on coding trends and Medicare rules affecting diagnosis coding and CDI trends.
• Use ICD-10 resources to investigate coding issues and produce accurate results.
• Communicate with providers daily to obtain documentation specificity and clarifications.

Skills

Clinical documentation improvement

ICD-10 coding

Provider communication

Healthcare analytics

Regulatory knowledge

Education

RN License (BSN)

Medical Degree

Tools

Optum CDI 3D Technology

Optum360 forms

Job description

About This Role

The Associate Clinical Document Improvement Specialist role focuses on enhancing the completeness of clinical documentation through concurrent and retrospective chart reviews. This position is ideal for individuals with a strong background in clinical medicine and coding who are looking to contribute to improved healthcare outcomes.

Highlights

• Pay: $60,200 - $107,400/year
• Location: Eden Prairie, MN
• Schedule: Full Time, Day shift
• Residency: Must reside in the U.S.

What You'll Do

• Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation.
• Keep abreast of current coding trends and maintain up-to-date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI current trends.
• Effectively utilize ICD-10 and related materials to investigate coding issues and produce accurate results.
• Conduct daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity.
• Provide expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement.
• Actively communicate with providers at all levels to clarify information and communicate documentation requirements for appropriate diagnoses.
• Provide complete follow-through on all requests for clarification or recommendations for improvement.
• Ensure effective utilization of Optum® CDI 3D Technology to document all clarification activity.
• Utilize only the Optum360 approved clarification forms.
• Proactively develop a reciprocal relationship with the HIM Coding Professionals.

Requirements

Education

• RN License (BSN Required) OR Medical Degree

Experience

• 3+ years of clinical medicine, pathophysiology, and pharmacology experience.
• 3+ years of experience with ICD-10 coding, coding conventions, and guidelines.

Licenses & Certifications

• RN License required, OR
• Medical Degree required.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on improving health outcomes and addressing health disparities through innovative solutions and a dedicated workforce.