CDI Leader: Elevate Diagnoses & Care Quality

Optum; Los Angeles (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase plan

401k contribution

Incentive and recognition programs

Career development opportunities

Job summary

Optum in the United States is seeking an experienced CDI specialist to review inpatient records and guide documentation improvement, collaborating with physicians and care teams to ensure accurate coding and DRG alignment.

This role focuses on improving documentation standards, patient outcomes, and ongoing education for clinicians, utilizing Optum CDI tools and working with Care Coordination and Quality Management teams.

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital RN experience or CDI background.
• Advanced clinical knowledge in medicine, pathophysiology, and pharmacology.
• Strong communication with physicians.
• Proficient PC skills in Windows and MS Office, EMR.

Responsibilities

• Review inpatient clinical records within 24-48 hours to optimize documentation.
• Follow up with providers daily to obtain documentation specificity.
• Clarify diagnoses based on severity and risk of mortality with physicians.
• Lead education strategies for clinicians to improve documentation.
• Coordinate with HIM Coding Professionals and participate in DRG reconsolidation.
• Engage with Care Coordination, Quality Management, and Physician Advisor as needed.
• Utilize Optum CDI 3D Technology for documentation accuracy.
• Provide timely feedback on documentation improvements.
• Conduct regular meetings with HIM Coding Professionals.
• Provide educational opportunities to physicians on documentation.

Skills

Clinical expertise

Physician communication

CDI experience

Education

Associate's degree

BSN degree

CCDS

CDIP

CCS certification

CAC experience

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Electronic Medical Records

Job description

Optum in the United States is seeking an experienced CDI specialist to review inpatient records and guide documentation improvement, collaborating with physicians and care teams to ensure accurate coding and DRG alignment.

This role focuses on improving documentation standards, patient outcomes, and ongoing education for clinicians, utilizing Optum CDI tools and working with Care Coordination and Quality Management teams.