CDI Specialist — Drive Documentation Quality & Education

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

Benefits offered by this job

Benefits package

401k

Equity stock purchase

Incentive programs

Job summary

Optum is seeking a Clinical Documentation Improvement Specialist to review inpatient records and guide documentation to reflect severity of illness and acuity. You will work with providers to clarify notes, educate physicians, and drive CDI initiatives across care teams.

The ideal candidate has an associate's degree and CDI experience or RN with clinical background, plus strong communication and EMR proficiency. This is a full-time on-site role in the United States.

Qualifications

• Associate's degree required.
• 5+ years acute care hospital clinical RN or CDI experience.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Strong communication with physicians and EMR proficiency.

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit to ensure accurate code assignment.
• Conduct daily follow-up with providers for documentation clarifications.
• Educate physicians on documentation requirements for diagnoses based on illness severity.
• Lead CDI education strategies and develop physician education programs.
• Coordinate with HIM Coding Professionals and Care Coordination on DRG reconsolidation and query rates.

Skills

RN experience

CDI experience

Physician communication

MS Word

MS Excel

PowerPoint

EMR systems

Education

Associate's degree

CDI/CCDS/CDIP/ CCS certification

BSN (preferred for RN)

Job description

Optum is seeking a Clinical Documentation Improvement Specialist to review inpatient records and guide documentation to reflect severity of illness and acuity. You will work with providers to clarify notes, educate physicians, and drive CDI initiatives across care teams.

The ideal candidate has an associate's degree and CDI experience or RN with clinical background, plus strong communication and EMR proficiency. This is a full-time on-site role in the United States.