Inpatient CDI Specialist & Physician Educator

Optum; Vernon (TX); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k contribution

Equity stock purchase

Job summary

Optum is seeking an experienced CDI specialist to review inpatient clinical records within 24-48 hours of admission, identify documentation gaps, and ensure accurate coding reflecting illness severity and care acuity. You will collaborate with physicians, care coordination, and HIM to drive documentation improvements.

The role requires strong clinical knowledge, 5+ years in acute care or CDI, and proficiency with EMR systems.

Qualifications

• Associate's degree required.
• 5+ years of acute care hospital clinical RN experience OR Medical Graduate with CDI experience.
• Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology.
• Advanced level of proficiency communicating & working closely with Physicians.
• Intermediate level proficiency with Windows, MS Word, Excel, PowerPoint and EMR.

Responsibilities

• Provides expert level review of inpatient clinical records within 24-48 hours of admit and identifies gaps in documentation for accurate code assignment.
• Conducts daily follow-up with providers to obtain documentation specificity.
• Communicates with physicians at all levels to clarify information and documentation requirements.
• Leads development and execution of physician education strategies for improved clinical documentation.
• Engages with Care Coordination and Quality Management to evaluate and spearhead CDI opportunities.

Skills

CDI expertise

Communication with physicians

Clinical documentation

EMR proficiency

Team collaboration

Education

Associate's degree

BSN (preferred)

Tools

Microsoft Word

Excel

PowerPoint

Electronic Medical Records

Job description

Optum is seeking an experienced CDI specialist to review inpatient clinical records within 24-48 hours of admission, identify documentation gaps, and ensure accurate coding reflecting illness severity and care acuity. You will collaborate with physicians, care coordination, and HIM to drive documentation improvements.

The role requires strong clinical knowledge, 5+ years in acute care or CDI, and proficiency with EMR systems.