Remote CDI Specialist: Elevate Patient Care & Coding

Optum; Los Alamitos (CA); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group is seeking a Clinical Documentation Improvement Specialist to work remotely within the United States. The role involves timely review of clinical records, ensuring evidence-based documentation, and collaboration with physicians to optimize coding accuracy and reimbursement.

Ideal candidates have nursing licensure or medical school background, CDI experience, familiarity with ICD-10-CM/PCS, and CCDS/CDIP/CCS credentials are a plus.

Qualifications

• Current RN license or Medical School Graduate.
• 3+ years acute inpatient CDI experience for RNs.
• 2+ years acute inpatient CDI experience for MDs.
• Experience communicating with physicians and performing concurrent chart reviews.

Responsibilities

• Review clinical records within 24-48 hours of admission for alignment with guidelines.
• Communicate with providers to reinforce evidence-based documentation.
• Track productivity and report leading indicators and analyses.
• Lead overall CDI improvements and provide actionable recommendations.
• Provide education for physicians and health care team members.
• Pivot with Care Coordination and Quality Management on improvement opportunities.
• Offer timely feedback on documentation opportunities and successes.
• Engage Medical Director/leadership to resolve clarifications as needed.

Skills

RN license

Medical school graduate

ICD-10-CM/PCS experience

Physician communication

Chart review processes

Query processes

Inpatient reimbursement knowledge

EMR proficiency

Education

CCDS/CDIP/CCS certifications

Tools

Microsoft Word

Excel

Electronic Medical Records

Job description

UnitedHealth Group is seeking a Clinical Documentation Improvement Specialist to work remotely within the United States. The role involves timely review of clinical records, ensuring evidence-based documentation, and collaboration with physicians to optimize coding accuracy and reimbursement.

Ideal candidates have nursing licensure or medical school background, CDI experience, familiarity with ICD-10-CM/PCS, and CCDS/CDIP/CCS credentials are a plus.