Inpatient CDI Specialist — Physician Collaboration

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

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Incentive and recognition programs

Job summary

Optum is seeking a CDI professional to review inpatient records within 24-48 hours of admit, identify documentation gaps, and collaborate with physicians to ensure accurate code assignment and appropriate severity of illness. The role emphasizes CDI program leadership and education.

Candidates should have an associate degree with 5+ years in acute care CDI or a medical background. Strong communication with physicians and EMR proficiency are essential. Competitive benefits are offered.

Qualifications

• Requires associate degree; RN with acute care or MD with CDI experience preferred.
• CS knowledge in clinical medicine, pathophysiology and pharmacology.
• Advanced communication with physicians and staff; proficiency with EMR.
• Proficiency in Windows PC applications (Word, Excel, PowerPoint) and medical record systems.

Responsibilities

• Review inpatient clinical records within 24–48 hours of admit to ensure accurate coding.
• Follow up with providers daily to obtain documentation specificity.
• Clarify diagnoses and severity based on documentation to support appropriate DRG coding.
• Perform rounding with unit-based physicians and supply DRG lists to Care Coordination.
• Educate physicians on documentation requirements and CDI best practices.
• Lead development and execution of physician education strategies for improved documentation.
• Provide timely feedback on documentation opportunities and successes.
• Coordinate with HIM Coding Professionals and Physician Advisor for issues and escalation.

Skills

Clinical medicine

Physician communication

Documentation improvement

Microsoft Office

Education

Associate's degree

BSN degree (RN) - preferred

CCDS/CDIP/CCS certification - preferred

Tools

EMR systems

Job description

Optum is seeking a CDI professional to review inpatient records within 24-48 hours of admit, identify documentation gaps, and collaborate with physicians to ensure accurate code assignment and appropriate severity of illness. The role emphasizes CDI program leadership and education.

Candidates should have an associate degree with 5+ years in acute care CDI or a medical background. Strong communication with physicians and EMR proficiency are essential. Competitive benefits are offered.