CDI Specialist: Elevate Clinical Documentation & Physician Education

Optum; Duarte (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Job summary

Optum is a global health services organization focused on improving care through technology-enabled clinical documentation. This CDI Specialist reviews inpatient records within 24-48 hours of admission, identifies documentation gaps, and works with providers to clarify details for accurate coding and DRG assignment.

You will lead physician education, coordinate with HIM Coding Professionals, and drive CDI initiatives using Optum 3D Technology to document clarification activity and improve care

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital RN experience or CDI experience as Medical Graduate.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced proficiency communicating & working closely with Physicians.
• PC proficiency in Windows environment: Word, Excel, PowerPoint and EMR.

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit to identify documentation gaps.
• Clarify documentation with providers to support accurate diagnoses and severity.
• Communicate with providers to obtain documentation specificity for appropriate DRGs.
• Lead physician education strategies to improve clinical documentation.
• Collaborate with HIM Coding Professionals and Care Coordination to optimize coding.

Skills

Clinical CDI experience

RN/Medical background

Documentation improvement

Physician communication

Windows/EMR proficiency

Education

Associate's degree

Job description

Optum is a global health services organization focused on improving care through technology-enabled clinical documentation. This CDI Specialist reviews inpatient records within 24-48 hours of admission, identifies documentation gaps, and works with providers to clarify details for accurate coding and DRG assignment.

You will lead physician education, coordinate with HIM Coding Professionals, and drive CDI initiatives using Optum 3D Technology to document clarification activity and improve care