CDI Specialist: Elevate Documentation & Medical Education

Optum

Inglewood (CA)

On-site

USD 73,000 - 130,000

Full time

4 days ago

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Benefits offered by this job

Comprehensive benefits

401k contribution

Job summary

Optum is seeking a CDI-focused clinician to enhance inpatient documentation and optimize coding accuracy. You will review acute care records promptly, identify gaps, and collaborate with providers to clarify documentation reflecting illness severity and care acuity.

You will lead education efforts and work with HIM Coding Professionals to ensure DRG consolidation and high-quality documentation. The role emphasizes interdisciplinary engagement, ongoing education, and utilization of Optum CDI

Qualifications

Associate's degree required; RN with acute care or Medical Graduate with CDI experience.
5+ years of acute care hospital RN experience or CDI experience.
Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
Advanced proficiency communicating and working closely with physicians.
Proficient PC skills in Windows and MS Word/Excel/PowerPoint and EMR.

Responsibilities

Review inpatient clinical records within 24-48 hours of admit and identify documentation gaps.
Follow up with providers daily to obtain documentation specificity.
Clarify diagnoses based on severity and risk of mortality.
Lead physician education strategies to improve clinical documentation.
Coordinate with HIM Coding Professionals and Physician Advisor when needed.