CDI Lead: Elevate Patient Care & Documentation

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

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

Optum, part of UnitedHealth Group, seeks an experienced CDI Specialist to review inpatient records and guide documentation improvements. You will collaborate with physicians and care teams to clarify diagnoses, educate staff, and ensure accurate DRG coding using Optum360 tools.

The role emphasizes timely documentation, physician engagement, and ongoing process improvement within a collaborative care environment.

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital clinical RN experience or medical graduate with CDI experience.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Strong ability to communicate with physicians.

Responsibilities

• Provides expert level review of inpatient clinical records within 24-48 hours of admit.
• Conducts daily follow-up with providers to obtain documentation specificity.
• Educates physicians on documentation requirements for diagnoses based on severity of illness.

Skills

RN experience

Clinical knowledge

Physician communication

Education

Associate's degree

BSN

Tools

MS Office

EMR systems

Job description

Optum, part of UnitedHealth Group, seeks an experienced CDI Specialist to review inpatient records and guide documentation improvements. You will collaborate with physicians and care teams to clarify diagnoses, educate staff, and ensure accurate DRG coding using Optum360 tools.

The role emphasizes timely documentation, physician engagement, and ongoing process improvement within a collaborative care environment.