CDI Specialist: Elevate Documentation & Physician Relations

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

Job summary

Optum, part of UnitedHealth Group, seeks a CDI Specialist to enhance clinical documentation in inpatient settings. You will review records within 24-48 hours of admission, identify gaps, and collaborate with physicians to clarify documentation reflecting illness severity and care acuity.

The role requires an associate's degree or higher, CDI experience or RN background, and proficiency with EMR systems and MS Office. You will educate providers and help reconsolidate DRGs.

Qualifications

• Associate's degree or higher required; RN with CDI experience also acceptable.
• Advanced proficiency in clinical medicine, pathophysiology and pharmacology.
• Strong communication skills with physicians and care teams.
• Experience using Windows-based MS Office applications and EMR systems.

Responsibilities

• Review inpatient clinical records within 24–48 hours of admit and identify documentation gaps.
• Clarify documentation with providers to reflect severity of illness and risk of mortality.
• Engage physicians in education and DRG-related clarification activities.
• Lead and participate in education strategies for clinical documentation improvement.

Skills

Clinical medicine

Pathophysiology

Pharmacology

Communication with physicians

Education

Associate's degree

BSN preferred

Tools

EMR systems

Microsoft Word

Excel

PowerPoint

Job description

Optum, part of UnitedHealth Group, seeks a CDI Specialist to enhance clinical documentation in inpatient settings. You will review records within 24-48 hours of admission, identify gaps, and collaborate with physicians to clarify documentation reflecting illness severity and care acuity.

The role requires an associate's degree or higher, CDI experience or RN background, and proficiency with EMR systems and MS Office. You will educate providers and help reconsolidate DRGs.