Senior CDI Specialist: Drive Clinical Documentation Excellence
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Job summary
UnitedHealth Group is seeking a CDI Specialist to review inpatient records within 24–48 hours of admission and identify documentation gaps that affect coding accuracy and severity. You will follow up with providers, clarify requirements, and educate physicians on documentation improvements.
In this role you will lead CDI efforts, coordinate with HIM/CDI teams, and collaborate with Care Coordination to drive improved care and outcomes.
Qualifications
- Associate's degree required; Medical graduate with CDI experience acceptable.
- 5+ years acute care RN or CDI background required; strong clinical knowledge.
- Advanced level of proficiency in medical terminology, pathophysiology, pharmacology.
- Excellent communication with physicians and teams; proficient PC skills.
Responsibilities
- Review inpatient clinical records within 24–48 hours of admission.
- Clarify documentation to ensure accurate coding and severity reflection.
- Provide education to physicians on documentation improvements.
- Lead CDI initiatives and collaborate with HIM/CDI teams.
- Coordinate with Care Coordination and Quality Management to improve outcomes.
Skills
Education
Tools
Job description
UnitedHealth Group is seeking a CDI Specialist to review inpatient records within 24–48 hours of admission and identify documentation gaps that affect coding accuracy and severity. You will follow up with providers, clarify requirements, and educate physicians on documentation improvements.
In this role you will lead CDI efforts, coordinate with HIM/CDI teams, and collaborate with Care Coordination to drive improved care and outcomes.
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