CDI Specialist: Elevate Documentation & Clinical Impact

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

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k

Job summary

Optum is seeking a CDI Specialist to review inpatient records within 24-48 hours of admission and guide documentation improvements. You will identify gaps, communicate with providers, and help elevate documentation quality across care teams.

The role requires an Associate's degree, 5+ years of acute care RN experience or CDI-experienced medical graduate, and strong clinical knowledge with EMR proficiency. BSN preferred and opportunities for professional growth are available.

Qualifications

• Associate's degree required; BSN preferred.
• 5+ years of acute care RN experience or CDI-experienced Medical Graduate.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Strong communication with physicians and care teams.

Responsibilities

• Provides expert level inpatient record review within 24-48 hours of admission to identify documentation gaps.
• Conducts daily follow-up with providers to obtain precise documentation for accurate diagnoses.
• Educates and collaborates with physicians on documentation improvement strategies.
• Leads CDI education initiatives and coordinates with HIM/CDI teams to optimize DRG accuracy.

Skills

Clinical knowledge

Physician communication

EMR proficiency

Documentation improvement

Education

Associate's degree

BSN preferred

Job description

Optum is seeking a CDI Specialist to review inpatient records within 24-48 hours of admission and guide documentation improvements. You will identify gaps, communicate with providers, and help elevate documentation quality across care teams.

The role requires an Associate's degree, 5+ years of acute care RN experience or CDI-experienced medical graduate, and strong clinical knowledge with EMR proficiency. BSN preferred and opportunities for professional growth are available.