CDI Specialist: Elevate Documentation & Care Quality

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

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group’s Optum CDI team in Huntington Park, CA seeks an experienced CDI professional to review inpatient records for accurate coding and documentation improvement. You will educate physicians, validate DRGs, and collaborate with HIM Coding Professionals to optimize care documentation.

RN or MD CDI background with pharmacology knowledge and strong physician communication is required, supported by comprehensive benefits, incentives, and career growth.

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital RN or CDI experience.
• Advanced proficiency in medicine, pathophysiology, and pharmacology.
• Strong communication with physicians.
• Proficient in Windows with Word/Excel/PowerPoint and EMR.

Responsibilities

• Review inpatient clinical records within 24–48 hours of admit to ensure accurate code assignment.
• Follow up with providers to obtain documentation specificity.
• Clarify diagnoses based on severity of illness and risk of mortality.
• Conduct rounding with physicians and provide Working DRG lists.
• Educate physicians on documentation improvements.
• Lead CDI education strategies to improve documentation.
• Coordinate with HIM Coding Professionals to reconsolidate DRGs.
• Engage Physician Advisor/VPMA as needed for issues.
• Collaborate with Care Coordination and Quality Management on CDI opportunities.

Skills

RN experience

CDI experience

Physician communication

Clinical pharmacology

MS Office

Education

Associate's degree

BSN preferred

CCDS/CDIP/CCS certification

CAC experience

Tools

Electronic Medical Records

MS Word

Excel

PowerPoint

Job description

UnitedHealth Group’s Optum CDI team in Huntington Park, CA seeks an experienced CDI professional to review inpatient records for accurate coding and documentation improvement. You will educate physicians, validate DRGs, and collaborate with HIM Coding Professionals to optimize care documentation.

RN or MD CDI background with pharmacology knowledge and strong physician communication is required, supported by comprehensive benefits, incentives, and career growth.