Clinical CDI Specialist: Elevate Documentation & Care

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

Benefits offered by this job

Comprehensive benefits package

Job summary

Optum is seeking a CDI professional in California to review inpatient records and ensure accurate coding reflecting severity of illness. You will collaborate with physicians, care coordination, and HIM Coding Professionals to clarify documentation and improve outcomes.

The role emphasizes educator duties, DRG reconciliation, and leveraging Optum360 tools to drive documentation excellence while supporting a compliant and high-quality healthcare environment.

Qualifications

• At least 5 years of acute care hospital RN experience or CDI experience as a Medical Graduate.
• Proven ability to identify documentation gaps and clarify diagnoses based on severity of illness.
• Experience educating physicians and coordinating with care teams.

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit to ensure accurate code assignment.
• Clarify documentation with providers to reflect severity of illness and risk of mortality.
• Lead education strategies and develop physician training on clinical documentation improvement.
• Collaborate with HIM Coding Professionals and care coordination teams.

Skills

Advanced level of proficiency in klin

Education

Associate's degree

BSN degree

CCDS/CDIP/CCS certification

Tools

Electronic Medical Records (EMR)

HIM Coding Systems

Job description

Optum is seeking a CDI professional in California to review inpatient records and ensure accurate coding reflecting severity of illness. You will collaborate with physicians, care coordination, and HIM Coding Professionals to clarify documentation and improve outcomes.

The role emphasizes educator duties, DRG reconciliation, and leveraging Optum360 tools to drive documentation excellence while supporting a compliant and high-quality healthcare environment.