Inpatient CDI Specialist | Elevate Documentation Quality

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

Benefits offered by this job

Comprehensive benefits

401k contribution

Equity stock purchase

Job summary

Optum is seeking an experienced CDI professional to review inpatient records and identify documentation gaps to ensure accurate code assignment within 24–48 hours of admission. You will collaborate with physicians to clarify diagnoses based on severity of illness and mortality risk.

The role emphasizes physician education, CDI initiative leadership, and close work with HIM Coding Professionals using Optum CDI tools. Strong clinical knowledge and hospital experience are essential for success.

Qualifications

• Associate's degree from an accredited program.
• 5+ years of acute care hospital RN or CDI experience.
• Advanced proficiency in clinical medicine, pathophysiology, pharmacology.
• Excellent communication with physicians and teams.
• Experience with Windows PC, MS Word/Excel/PowerPoint and EMR.

Responsibilities

• Review inpatient clinical records within 24–48 hours after admission.
• Identify documentation gaps to ensure accurate code assignment.
• Follow up with providers daily for needed clarifications.
• Educate physicians on documentation improvement strategies.
• Lead education initiatives to improve clinical documentation.
• Coordinate with HIM Coding Professionals and Care Coordination.
• Utilize Optum CDI tools and forms.

Skills

Clinical medicine

Pathophysiology

Pharmacology

Physician communication

PC proficiency

Education

Associate's degree

BSN degree

Tools

Microsoft Word

Excel

PowerPoint

Electronic Medical Records

Job description

Optum is seeking an experienced CDI professional to review inpatient records and identify documentation gaps to ensure accurate code assignment within 24–48 hours of admission. You will collaborate with physicians to clarify diagnoses based on severity of illness and mortality risk.

The role emphasizes physician education, CDI initiative leadership, and close work with HIM Coding Professionals using Optum CDI tools. Strong clinical knowledge and hospital experience are essential for success.