Senior CDI Specialist – Elevate Clinical Documentation

Optum; Redondo Beach (CA); Sur place; USD 73 000 - 130 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

Equity stock purchase program

401(k) contribution

Résumé du poste

Optum is seeking an experienced CDI professional to review inpatient records within 24–48 hours of admission, identifying documentation gaps to ensure accurate code assignment and appropriate severity of illness. You will lead physician education efforts and collaborate with HIM Coding Professionals to improve documentation quality.

The role emphasizes strong clinical knowledge, CDI experience, and ability to work with physicians to clarify documentation needs and ensure compliant coding

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 of proficiency with PC in Windows environment (Word, Excel, PowerPoint, EMR).

Responsabilités

• Review inpatient clinical records within 24-48 hours of admit and identify documentation gaps for accurate coding.
• Communicate with providers daily to obtain needed documentation specificity.
• Educate physicians on documentation requirements based on illness severity and risk of mortality.
• Lead development and execution of physician education strategies for improved documentation.
• Engage with HIM Coding Professionals and Physician Advisor to resolve clarification issues.

Connaissances

Clinical knowledge

Physician communication

PC skills

Formation

Associate's degree

BSN degree (preferred)

Outils

EMR systems

Description du poste

Optum is seeking an experienced CDI professional to review inpatient records within 24–48 hours of admission, identifying documentation gaps to ensure accurate code assignment and appropriate severity of illness. You will lead physician education efforts and collaborate with HIM Coding Professionals to improve documentation quality.

The role emphasizes strong clinical knowledge, CDI experience, and ability to work with physicians to clarify documentation needs and ensure compliant coding