CDI Specialist: Elevate Patient Care Through Documentation

Jobtome; Long Beach (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Incentive and recognition programs

Job summary

Optum is hiring a CDI Specialist to lead documentation improvement in inpatient settings. You will review records within 24-48 hours of admit, clarify documentation with providers, and educate physicians to improve DRGs and accuracy.

Ideal candidates have an Associate's degree with 5+ years of acute care RN experience or a Medical Graduate with CDI background. BSN and CCDS/CDIP/CCS are preferred. Salary ranges from $72,800 to $130,000 per year plus comprehensive benefits.

Qualifications

• Associate's degree required; BSN preferred.
• 5+ years of acute care RN experience OR MD with CDI experience.
• Strong proficiency in clinical medicine and pharmacology.
• Excellent communication with physicians and teams.

Responsibilities

• Review inpatient records within 24–48 hours of admit to identify documentation gaps.
• Clarify documentation with providers to ensure accurate diagnoses and severity.
• Educate physicians on documentation requirements and strategies.
• Lead CDI initiatives and develop physician education programs.
• Coordinate with HIM and Care Coordination for DRG accuracy.

Skills

Clinical knowledge

Physician communication

MS Office / EMR

Education

Associate's degree

BSN degree

Tools

EMR systems

Job description

Optum is hiring a CDI Specialist to lead documentation improvement in inpatient settings. You will review records within 24-48 hours of admit, clarify documentation with providers, and educate physicians to improve DRGs and accuracy.

Ideal candidates have an Associate's degree with 5+ years of acute care RN experience or a Medical Graduate with CDI background. BSN and CCDS/CDIP/CCS are preferred. Salary ranges from $72,800 to $130,000 per year plus comprehensive benefits.