CDI Specialist: Elevate Clinical Documentation & Education

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

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Incentive programs

Job summary

Optum is seeking a CDI Specialist to review inpatient clinical records within 24-48 hours of admit and drive documentation improvement. You will collaborate with physicians and HIM teams to clarify diagnoses and ensure accurate DRG coding.

Requirements include an Associate's degree, 5+ years of acute care RN or CDI experience, and proficiency with EMR and MS Office. BSN and CDI certifications are preferred. Competitive benefits offered.

Qualifications

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

Responsibilities

• Review inpatient records within 24-48 hours of admit and identify documentation gaps.
• Clarify documentation with providers to ensure accurate diagnoses and severity.
• Lead physician education and CDI improvement initiatives.
• Coordinate with HIM and Care Coordination to optimize DRGs.
• Provide timely feedback and participate in regular meetings with coding professionals.
• Engage physician advisors to resolve clarification and CDI issues.

Skills

Clinical medicine

Pathophysiology

Pharmacology

Physician communication

PC proficiency

Education

Associate's degree

BSN (preferred)

CCDS/CDIP/CCS certification

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Electronic Medical Records

Job description

Optum is seeking a CDI Specialist to review inpatient clinical records within 24-48 hours of admit and drive documentation improvement. You will collaborate with physicians and HIM teams to clarify diagnoses and ensure accurate DRG coding.

Requirements include an Associate's degree, 5+ years of acute care RN or CDI experience, and proficiency with EMR and MS Office. BSN and CDI certifications are preferred. Competitive benefits offered.