CDI Specialist: Elevate Care with Documentation Excellence

Optum; South El Monte (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Benefits package

Incentives and recognition programs

Equity stock purchase

401k contribution

Job summary

Optum is seeking a CDI-focused professional to review inpatient records, clarify documentation, and collaborate with physicians to improve coding accuracy and severity of illness reporting. The role requires strong clinical knowledge, CDI experience in acute care, and excellent interprofessional communication.

You will lead education initiatives, coordinate with HIM coding teams, and drive improvements across Care Coordination and Quality Management.

Qualifications

• Associate's degree required; BSN preferred.
• 5+ years of acute care hospital RN experience or CDI experience for medical graduates.
• Strong clinical medicine, pathophysiology and pharmacology knowledge.
• Excellent communication with physicians and care teams.
• Proficient PC skills in Windows, including Word, Excel, PowerPoint and EMR.

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit to ensure accurate coding.
• Follow up daily with providers to obtain documentation specificity.
• Clarify diagnoses based on severity of illness and risk of mortality with physicians.
• Conduct rounds with physicians and provide DRG lists to Care Coordination.
• Educate physicians on documentation improvement strategies.
• Coordinate with HIM Coding Professionals to reconsolidate DRGs and monitor queries.
• Engage with Physician Advisor/VPMA as needed to resolve issues in CDI.
• Collaborate with Care Coordination and Quality Management on CDI opportunities.

Skills

Clinical Medicine

Pathophysiology

Pharmacology

Physician Communication

Windows PC Skills (Word, Excel, PowerP

EMR Proficiency

Education

Associate's degree

BSN (preferred)

CDI certification (CCDS/CDIP/CCS)

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Electronic Medical Records (EMR)

Job description

Optum is seeking a CDI-focused professional to review inpatient records, clarify documentation, and collaborate with physicians to improve coding accuracy and severity of illness reporting. The role requires strong clinical knowledge, CDI experience in acute care, and excellent interprofessional communication.

You will lead education initiatives, coordinate with HIM coding teams, and drive improvements across Care Coordination and Quality Management.