Inpatient CDI Specialist - Physician Collaboration

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

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k plan

Incentives

Job summary

Optum is seeking an experienced CDI specialist to lead documentation improvement efforts in acute care settings. The role requires reviewing inpatient records promptly, clarifying documentation with physicians, and supporting DRG accuracy through collaboration with HIM coding teams.

Responsibilities include educating physicians, monitoring query rates, and leveraging CDI tools to improve documentation quality across care teams.

Qualifications

• Advanced clinical knowledge in medicine, physiology and pharmacology.
• Strong communication with physicians to clarify diagnoses.
• Proficiency with Windows PC, MS Word/Excel/PowerPoint and EMR systems.

Responsibilities

• Review inpatient clinical records within 24-48 hours of admit and ensure accurate coding.
• Follow up daily with providers to obtain necessary documentation.
• Clarify information and communicate documentation requirements based on severity.
• Lead education strategies and provide feedback to improve clinical documentation.
• Coordinate regular meetings with HIM Coding Professionals to reconsolidate DRGs.

Skills

Clinical medicine

Pathophysiology

Pharmacology

Physician communication

MS Office & EMR proficiency

Education

Associate's degree

BSN degree

Tools

CAC certification

CCDS/CDIP/CCS certification

Job description

Optum is seeking an experienced CDI specialist to lead documentation improvement efforts in acute care settings. The role requires reviewing inpatient records promptly, clarifying documentation with physicians, and supporting DRG accuracy through collaboration with HIM coding teams.

Responsibilities include educating physicians, monitoring query rates, and leveraging CDI tools to improve documentation quality across care teams.