Inpatient CDI Specialist - Elevate Documentation

UnitedHealth Group; California; On-site; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group is seeking an Associate Clinical Documentation Improvement Specialist in Concord, CA. You will review inpatient records to ensure accurate coding and drive improvements in documentation quality.

Ideal candidates have an MD/MBBS or active US RN license, with 2+ years CDI experience or 5+ years RN in acute care. Certification within 1 year is encouraged; strong clinical knowledge is required.

Qualifications

• Must have medical degree or RN with US license.
• CCDS, CDIP, or CCS certification or willingness to obtain within 1 year.
• 5+ years acute care RN experience or 2+ years as a CDI in an acute hospital.
• Advanced knowledge in medicine, pathophysiology, and pharmacology.

Responsibilities

• Review inpatient records within 24–48 hours of admit.
• Identify documentation gaps for accurate code assignment.
• Daily follow-up with providers on clarifications.
• Lead overall improvement in clinical documentation.

Skills

Clinical documentation

Provider communication

Leadership

HIM collaboration

Education

MD or MBBS

RN license in US

Tools

CDI software

EHR systems

Job description

UnitedHealth Group is seeking an Associate Clinical Documentation Improvement Specialist in Concord, CA. You will review inpatient records to ensure accurate coding and drive improvements in documentation quality.

Ideal candidates have an MD/MBBS or active US RN license, with 2+ years CDI experience or 5+ years RN in acute care. Certification within 1 year is encouraged; strong clinical knowledge is required.