Inpatient CDI Specialist: Elevate Documentation & Outcomes

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

Benefits offered by this job

Benefits package

401k contribution

Equity stock purchase

Job summary

Optum is seeking an experienced CDI professional to review inpatient records within 24-48 hours of admission and identify documentation gaps. You will communicate with providers to ensure diagnoses reflect severity and risk, lead education initiatives, and collaborate with HIM Coding Professionals to optimize documentation.

Ideal candidates have an Associate's degree and 5+ years of acute care RN experience or equivalent CDI background, with strong proficiency in EMR systems and medical

Qualifications

• Associate's degree required or equivalent combination of education and experience.
• Advanced clinical knowledge across medicine, pathophysiology and pharmacology.
• Experience communicating with physicians and care teams.

Responsibilities

• Provides expert level review of inpatient clinical records within 24-48 hours of admit and clarifies documentation gaps.
• Conducts daily follow-up with providers to obtain documentation specificity.
• Communicates with providers to ensure diagnoses reflect severity and risk of mortality.
• Performs rounding with physicians and provides Working DRG lists.
• Delivers face-to-face physician education on documentation improvements.
• Follows through on requests for clarification and recommendations.
• Leads physician education strategies to improve clinical documentation.
• Gives timely feedback on opportunities for improvement and successes.
• Ensures use of Optum CDI 3D Technology and approved clarification forms.
• Develops relationships with HIM Coding Professionals and reconsolidates DRGs as needed.
• Collaborates with Physician Advisor/VPMA to resolve provider issues.
• Engages Care Coordination and Quality Management to drive CDI opportunities.

Skills

Clinical medicine

Pathophysiology

Pharmacology

Physician communication

EMR proficiency

Education

Associate's degree

BSN degree

CDDS/CDIP/CCS certification

Tools

Microsoft Word

Excel

PowerPoint

Electronic Medical Records

Job description

Optum is seeking an experienced CDI professional to review inpatient records within 24-48 hours of admission and identify documentation gaps. You will communicate with providers to ensure diagnoses reflect severity and risk, lead education initiatives, and collaborate with HIM Coding Professionals to optimize documentation.

Ideal candidates have an Associate's degree and 5+ years of acute care RN experience or equivalent CDI background, with strong proficiency in EMR systems and medical