Inpatient CDI Specialist: Elevate Clinical Documentation

Jobtome; El Segundo (CA); Sur place; USD 73 000 - 130 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

401k contribution

Equity stock purchase

Résumé du poste

Optum is seeking a Clinical Documentation Improvement (CDI) RN or CDI-trained clinician to review inpatient records within 24-48 hours of admission. You will identify documentation gaps and clarify information to ensure accurate coding and reflect severity of illness.

You will educate providers, coordinate with HIM/CDI teams, and lead education initiatives to improve documentation quality while leveraging Optum360 tools and best practices.

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital clinical RN experience OR Medical Graduate with 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 (Word, Excel, PowerPoint, EMR).

Responsabilités

• Provides expert level review of inpatient clinical records within 24-48 hours of admit and identifies gaps needing clarification for accurate code assignment.
• Performs daily follow-up with providers to obtain documentation specificity.
• Communicates with providers to clarify information and documentation requirements.
• Performs regular rounding with physicians and provides DRG lists to Care Coordination.
• Leads physician education strategies to improve clinical documentation and ensures timely feedback.

Connaissances

Clinical RN experience

Physician communication

PC skills (Windows, Word, Excel)

Advanced clinical knowledge

Formation

Associate's degree

BSN (preferred)

CDI certifications (CCDS/CDIP/CCS)

Outils

CAC experience

Description du poste

Optum is seeking a Clinical Documentation Improvement (CDI) RN or CDI-trained clinician to review inpatient records within 24-48 hours of admission. You will identify documentation gaps and clarify information to ensure accurate coding and reflect severity of illness.

You will educate providers, coordinate with HIM/CDI teams, and lead education initiatives to improve documentation quality while leveraging Optum360 tools and best practices.