CDI Specialist: Physician Education & Documentation Impact

Optum; Cerritos (CA); On-site; USD 73,000 - 130,000; Full time

Job summary

Optum in California seeks a seasoned CDI/Clinical RN to review inpatient records, clarify documentation, and ensure accurate coding reflecting severity and risk of mortality. You will educate physicians, lead CDI initiatives, and collaborate with HIM, Care Coordination, and Quality Management to drive documentation improvements.

This full-time role offers a mission-driven environment with comprehensive benefits and opportunities for professional growth, including ongoing education and

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital RN experience or CDI experience.
• Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced level of proficiency communicating & working closely with Physicians.
• Intermediate level of proficiency using a PC in Windows, including Word, Excel, PowerPoint and EMR.

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit; identify gaps for accurate code assignment.
• Conduct daily follow-up with providers to obtain documentation specificity.
• Clarify information with physicians to support diagnoses based on severity of illness and risk of mortality.
• Perform regular rounding with unit-based physicians and provide DRG lists to Care Coordination.
• Lead physician education strategies to improve clinical documentation.
• Provide timely feedback to providers on documentation opportunities and follow-through on clarifications.
• Coordinate with HIM Coding Professionals to reconsolidate DRGs and monitor retrospective query rates.
• Engage Physician Advisor/VPMA as needed to resolve provider issues in CDI.
• Collaborate with Care Coordination and Quality Management to drive CDI improvements.

Skills

RN experience

CDI experience

Physician communication

EMR proficiency

Education

Associate's degree

BSN

CDDS/CDIP/CCS certification

Tools

MS Word

MS Excel

PowerPoint

EMR

Job description

Optum in California seeks a seasoned CDI/Clinical RN to review inpatient records, clarify documentation, and ensure accurate coding reflecting severity and risk of mortality. You will educate physicians, lead CDI initiatives, and collaborate with HIM, Care Coordination, and Quality Management to drive documentation improvements.

This full-time role offers a mission-driven environment with comprehensive benefits and opportunities for professional growth, including ongoing education and