Inpatient CDI Specialist | Elevate Clinical Documentation

Jobtome; Gardena (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

401k contribution

Equity stock purchase

Job summary

Optum seeks a CDI Specialist in California to review inpatient records, clarify documentation, and ensure accurate DRG assignment. You will lead education efforts with physicians, coordinate with the HIM CDI team, and support care coordination to improve documentation quality and patient outcomes.

The role requires an Associate's degree and 5+ years of RN or CDI experience, with strong clinical knowledge and EMR proficiency. On-site work in California is expected with comprehensive benefits.

Qualifications

• Associate's degree required.
• 5+ years RN or CDI experience preferred.
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology.
• Proven ability to work closely with physicians.

Responsibilities

• Review inpatient records within 24–48 hours of admission.
• Identify documentation gaps and clarify for accurate coding.
• Communicate with providers to specify diagnoses by severity.
• Lead education strategies for physicians to improve documentation.
• Collaborate with HIM CDI team to reconsolidate DRGs and monitor queries.
• Engage with Care Coordination and Quality Management to drive CDI opportunities.

Skills

Clinical knowledge

Physician communication

Problem solving

PC proficiency

Education

Associate's degree

RN or Medical Graduate

Tools

Microsoft Word

Excel

EMR/EHR systems

Job description

Optum seeks a CDI Specialist in California to review inpatient records, clarify documentation, and ensure accurate DRG assignment. You will lead education efforts with physicians, coordinate with the HIM CDI team, and support care coordination to improve documentation quality and patient outcomes.

The role requires an Associate's degree and 5+ years of RN or CDI experience, with strong clinical knowledge and EMR proficiency. On-site work in California is expected with comprehensive benefits.