CDI Specialist: Document & Collaborate with Physicians

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

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a Clinical Documentation Improvement Specialist with acute care RN or MD/CDI background to ensure accurate coding and high-quality clinical documentation. The role emphasizes collaboration with physicians, education initiatives, and leveraging CDI tools to improve documentation quality.

Requires an Associate degree and CDI experience, plus advanced knowledge in medicine, pathophysiology, pharmacology, and EMR systems.

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital clinical RN experience OR Medical Graduate with CDI experience.
• Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced level of proficiency communicating & working closely with Physicians.
• Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records.

Responsibilities

• Provides expert level review of inpatient clinical records within 24-48 hours of admit and clarifies documentation to reflect severity of illness.
• Conducts daily follow-up with providers to obtain documentation specificity.
• Communicates with providers at all levels to clarify information and documentation requirements.
• Performs regular rounding with unit-based physicians and provides Working DRG lists to Care Coordination.
• Leads physician education strategies to improve clinical documentation and drives timely feedback on opportunities.

Skills

Acute care RN experience

CDI experience

Clinical medicine

Physician communication

EMR proficiency

Education

Associate's degree

BSN degree (preferred)

CCDS/CDIP/CCS certification

Job description

UnitedHealth Group is seeking a Clinical Documentation Improvement Specialist with acute care RN or MD/CDI background to ensure accurate coding and high-quality clinical documentation. The role emphasizes collaboration with physicians, education initiatives, and leveraging CDI tools to improve documentation quality.

Requires an Associate degree and CDI experience, plus advanced knowledge in medicine, pathophysiology, pharmacology, and EMR systems.