CDI Specialist: Elevate Patient Care & Documentation

Optum; Fullerton (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 company focused on improving outcomes through clinical documentation integrity. The role involves expert review of inpatient records within 24-48 hours of admission, identifying gaps and ensuring documentation reflects severity and acuity of care.

You will communicate with providers to obtain clarification, lead physician education initiatives, coordinate with HIM Coding Professionals, and leverage Optum CDI tools to drive documentation improvement and care

Qualifications

• Associate’s degree required.
• 5+ years acute care RN or CDI experience.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced proficiency communicating & working closely with Physicians.
• Proficient PC skills in Windows, including Word, Excel, PowerPoint and EMR.

Responsibilities

• Review inpatient records within 24–48 hours of admit and identify gaps in documentation.
• Follow up with providers to obtain needed documentation specificity.
• Clarify diagnoses based on severity of illness and risk of mortality.
• Lead physician education strategies for documentation improvement.
• Coordinate with HIM Coding Professionals and Care Coordination teams.

Skills

CDI collaboration

RN experience

Physician communication

MS Office

EMR proficiency

Education

Associate's degree

Tools

EMR systems

Microsoft Office

Job description

Optum is a global health services company focused on improving outcomes through clinical documentation integrity. The role involves expert review of inpatient records within 24-48 hours of admission, identifying gaps and ensuring documentation reflects severity and acuity of care.

You will communicate with providers to obtain clarification, lead physician education initiatives, coordinate with HIM Coding Professionals, and leverage Optum CDI tools to drive documentation improvement and care