Senior CDI Specialist – Acute Care Documentation

Jobtome; Santa Fe Springs (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group seeks a CDI Specialist to review inpatient records within 24–48 hours of admission, identify documentation gaps, and clarify diagnoses with physicians. The role includes leading CDI education efforts and collaborating with HIM coding teams to optimize documentation and DRG accuracy.

The candidate will work with care coordination teams and use Optum CDI tools to drive improvements and ensure compliant coding practices. A clinical background and CDI experience are essential.

Qualifications

• Associate's degree from an accredited program is required or equivalent
• 5+ years of acute care RN experience or CDI experience as a Medical Graduate
• Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology
• Advanced level of proficiency communicating and working with physicians

Responsibilities

• Review inpatient clinical records within 24–48 hours of admission to identify documentation gaps
• Follow up with providers to obtain documentation specificity
• Educate physicians on documentation requirements and CDI processes
• Lead development and execution of physician education strategies
• Collaborate with HIM Coding Professionals to reconsolidate DRGs and monitor retrospective queries

Skills

RN acute care experience

Medical graduate CDI experience

Clinical medicine knowledge

Physician communication

PC proficiency (Windows, Word, Excel, 

Education

Associate's degree

BSN degree (preferred)

CDDS/CDIP/CCS certification

Tools

Microsoft Word

Excel

PowerPoint

Electronic Medical Records

Job description

UnitedHealth Group seeks a CDI Specialist to review inpatient records within 24–48 hours of admission, identify documentation gaps, and clarify diagnoses with physicians. The role includes leading CDI education efforts and collaborating with HIM coding teams to optimize documentation and DRG accuracy.

The candidate will work with care coordination teams and use Optum CDI tools to drive improvements and ensure compliant coding practices. A clinical background and CDI experience are essential.