CDI Specialist: Elevate Clinical Documentation

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

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase program

401(k) contribution

Job summary

Optum is a global organization focused on health care improvement through technology and services. This role reviews inpatient records within 24-48 hours of admission, identifies documentation gaps, and coordinates with physicians to clarify diagnoses and severity.

You will lead education initiatives and work with CDI teams to optimize DRG accuracy. Required are an associate degree and strong CDI/clinical knowledge, with preferred BSN and CDI certifications.

Qualifications

• Associate degree required; RN with acute care CDI experience also acceptable.
• CDI experience and advanced clinical knowledge preferred.
• Experience communicating with physicians and educating teams.

Responsibilities

• Provides expert review of inpatient clinical records within 24-48 hours of admit.
• Identifies gaps in documentation to ensure accurate code assignment.
• Communicates with providers to obtain documentation specificity.
• Leads physician education strategies to improve clinical documentation.

Skills

Clinical documentation improvement

Physician communication

EMR proficiency

Interdisciplinary collaboration

Education

Associate's degree

BSN preferred

CCDS/CDIP/CCS certification preferred

Tools

Microsoft Word

Microsoft Excel

PowerPoint

EMR systems

Job description

Optum is a global organization focused on health care improvement through technology and services. This role reviews inpatient records within 24-48 hours of admission, identifies documentation gaps, and coordinates with physicians to clarify diagnoses and severity.

You will lead education initiatives and work with CDI teams to optimize DRG accuracy. Required are an associate degree and strong CDI/clinical knowledge, with preferred BSN and CDI certifications.