Clinical Documentation Improvement Lead (CDI) – Educate Providers

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

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401(k) contribution

Job summary

Optum is a global health services company seeking a CDI specialist to review inpatient records and drive documentation improvements within 24-48 hours of admission. You will identify gaps, clarify diagnoses, and partner with physicians to ensure accurate severity and risk of mortality.

This role requires an associate's degree with 5+ years of acute care RN experience or CDI experience, plus strong clinical knowledge and EMR/MS Office proficiency. Preferred BSN and CDI certifications.

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital clinical RN experience OR CDI experience.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced proficiency communicating and working with physicians.
• Proficient PC skills in Windows environment; Word, Excel, PowerPoint, EMR.

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit; identify gaps for accurate coding.
• Follow up daily with providers to obtain documentation specificity.
• Clarify diagnoses based on severity of illness and risk of mortality with providers.

Skills

Clinical medicine

Pathophysiology

Pharmacology

Physician communication

EMR software

Windows PC skills

Education

Associate's degree

BSN degree

CCDS, CDIP or CCS certification

CAC certification

Tools

MS Word

Excel

PowerPoint

Job description

Optum is a global health services company seeking a CDI specialist to review inpatient records and drive documentation improvements within 24-48 hours of admission. You will identify gaps, clarify diagnoses, and partner with physicians to ensure accurate severity and risk of mortality.

This role requires an associate's degree with 5+ years of acute care RN experience or CDI experience, plus strong clinical knowledge and EMR/MS Office proficiency. Preferred BSN and CDI certifications.