CDI Specialist: Elevate Clinical Documentation & Outcomes

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

Benefits offered by this job

Benefits package

Equity stock purchase

401k plan

Incentive programs

Job summary

Optum, part of UnitedHealth Group, is seeking a CDI-focused RN/Medical Professional to review inpatient records within 24-48 hours of admission and clarify documentation to reflect severity and acuity. The role involves daily provider communications, physician education, and leadership in CDI initiatives.

The candidate will collaborate with HIM Coding and Care Coordination teams to improve documentation quality, DRG accuracy, and outcomes, leveraging Optum360 tools and approved forms.

Qualifications

• Associate’s degree required.
• 5+ years of acute care hospital RN experience OR Medical Graduate with CDI experience.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced proficiency communicating & working closely with Physicians.
• Intermediate proficiency using a PC in Windows, including Word, Excel, PowerPoint and EMR

Responsibilities

• Provides expert level review of inpatient clinical records within 24-48 hours of admit.
• Conducts daily follow-up communication with providers regarding clarifications.
• Communicates with providers to clarify information and documentation requirements.
• Performs regular rounding with unit-based physicians and provides DRG lists.
• Leads physician education strategies to improve clinical documentation.
• Ensures effective utilization of CDI technology to document clarification activity.

Skills

Acute care RN

CDI experience

Clinical pharmacology

Physician communication

EMR proficiency

Education

Associate's degree

Tools

EMR systems

Microsoft Word

Excel

PowerPoint

Job description

Optum, part of UnitedHealth Group, is seeking a CDI-focused RN/Medical Professional to review inpatient records within 24-48 hours of admission and clarify documentation to reflect severity and acuity. The role involves daily provider communications, physician education, and leadership in CDI initiatives.

The candidate will collaborate with HIM Coding and Care Coordination teams to improve documentation quality, DRG accuracy, and outcomes, leveraging Optum360 tools and approved forms.