CDI Specialist: Elevate Clinical Documentation & Education

Optum; Santa Fe Springs (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

Optum in California seeks a CDI specialist to strengthen clinical documentation and coding accuracy. You will review inpatient records within 24-48 hours of admission and work with physicians to clarify documentation, improving severity of illness reflection and risk of mortality assessments.

You will lead physician education initiatives, collaborate with HIM Coding Professionals, and use Optum360 technology to document clarification activity while supporting Care Coordination and Quality

Qualifications

• Associate's degree required; BSN preferred.
• 5+ years of acute care hospital clinical RN experience or CDI experience for Medical Graduate.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced proficiency communicating with physicians.
• Intermediate proficiency with Microsoft Word, Excel, PowerPoint and EMR.

Responsibilities

• Provides expert level review of inpatient clinical records within 24-48 hours of admit and identifies documentation gaps.
• Communicates with providers to obtain documentation specificity.
• Educates physicians on documentation improvements and CDI processes.
• Leads development and execution of physician education strategies.
• Coordinates with HIM Coding Professionals to reconsolidate DRGs and monitor queries.

Skills

Clinical medicine

Pathophysiology

Pharmacology

Physician communication

Microsoft Word

Excel

PowerPoint

Electronic Medical Records

Education

Associate's degree

BSN degree (preferred)

CCDS/CDIP/CCS certification (preferred)

CAC experience (preferred)

Tools

Windows PC

Job description

Optum in California seeks a CDI specialist to strengthen clinical documentation and coding accuracy. You will review inpatient records within 24-48 hours of admission and work with physicians to clarify documentation, improving severity of illness reflection and risk of mortality assessments.

You will lead physician education initiatives, collaborate with HIM Coding Professionals, and use Optum360 technology to document clarification activity while supporting Care Coordination and Quality