CDI Specialist: Physician Education & Documentation Review

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

Benefits offered by this job

Comprehensive benefits

Incentives and recognition programs

Equity stock purchase

401k contribution

Job summary

Optum is hiring for a CDI-focused role that strengthens clinical documentation in acute care. The position requires strong nursing or medical background with CDI experience and collaboration with physicians to ensure accurate coding reflecting severity and risk of mortality.

The incumbent will educate physicians, lead CDI strategies, and coordinate with HIM, Care Coordination, and Quality Management to improve documentation quality and outcomes.

Qualifications

• Associate's degree required.
• 5+ years acute care RN OR MD with CDI experience.
• Advanced proficiency in medicine, pathophysiology and pharmacology.
• Advanced proficiency communicating with Physicians.
• Proficient PC skills: Word, Excel, PowerPoint and EMR.

Responsibilities

• Review inpatient records within 24-48 hours for coding accuracy.
• Daily follow-up with providers to obtain documentation specificity.
• Clarify information with physicians on diagnoses per severity.
• Regular rounding with unit-based physicians and DRG lists.
• Face-to-face education with physicians on CDI.
• Lead education strategies to improve clinical documentation.
• Provide timely feedback on improvement opportunities.
• Ensure use of Optum CDI 3D technology and approved forms.
• Coordinate with HIM Coding Professionals and escalate when needed.
• Collaborate with Care Coordination and Quality Management on CDI.

Skills

Acute care RN experience

CDI experience

Clinical medicine knowledge

Physician communication

Windows PC proficiency (Word/Excel/PP/

Education

Associate's degree

BSN degree

CDI certification

CCDS/CDIP/CCS certification

Tools

EMR systems

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Optum is hiring for a CDI-focused role that strengthens clinical documentation in acute care. The position requires strong nursing or medical background with CDI experience and collaboration with physicians to ensure accurate coding reflecting severity and risk of mortality.

The incumbent will educate physicians, lead CDI strategies, and coordinate with HIM, Care Coordination, and Quality Management to improve documentation quality and outcomes.