Senior Clinical Documentation Improvement Specialist

Jobtome; Bell Gardens (CA); Sur place; USD 73 000 - 130 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Résumé du poste

UnitedHealth Group is seeking a qualified CDI Specialist to review inpatient records within 24–48 hours of admission, identify documentation gaps, and work with physicians to improve coding accuracy and clinical documentation. The role involves education, DRG coordination, and collaboration with care teams in a fast-paced hospital setting.

The ideal candidate has an Associate's degree, 5+ years of acute care CDI or RN experience, and strong proficiency in clinical medicine, pharmacology, and EMR

Qualifications

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

Responsabilités

• Review inpatient clinical records within 24–48 hours of admit and identify gaps in documentation for accurate code assignment.
• Conduct daily follow-up with providers to obtain documentation specificity.
• Communicate with physicians to clarify diagnoses based on severity of illness and risk of mortality.
• Round with unit-based physicians and provide Working DRG lists.
• Lead physician education strategies to improve clinical documentation.
• Provide timely feedback on opportunities for improvement and successes.
• Utilize Optum CDI 3D Technology for clarification activity and forms.
• Coordinate with HIM Coding Professionals and conduct regular meetings.

Connaissances

Clinical knowledge

Physician communication

EMR systems

Team collaboration

Formation

Associate's degree

BSN preferred

CCDS/CDIP/CCS certification

Outils

MS Word

Excel

PowerPoint

Electronic Medical Records

Description du poste

UnitedHealth Group is seeking a qualified CDI Specialist to review inpatient records within 24–48 hours of admission, identify documentation gaps, and work with physicians to improve coding accuracy and clinical documentation. The role involves education, DRG coordination, and collaboration with care teams in a fast-paced hospital setting.

The ideal candidate has an Associate's degree, 5+ years of acute care CDI or RN experience, and strong proficiency in clinical medicine, pharmacology, and EMR