Senior Remote CDI Specialist (RN/MD)

Texas Health Institute; Eden Prairie, Northern (MN, KY); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group, through Optum Insight, seeks a CDI professional to improve clinical documentation; remote work is available within the U.S. You will review charts, advise on documentation improvements, and collaborate with providers to ensure accurate coding and risk adjustment.

Requirements include an RN license with BSN or a Medical Degree, 3+ years in clinical medicine and ICD-10 coding, plus CDI experience and EMR proficiency. Certification such as CCDS/CDIP/CCDS is preferred.

Qualifications

• RN license (BSN required) or Medical Degree.
• 3+ years of clinical medicine, pathophysiology, and pharmacology experience.
• 3+ years of ICD-10 coding, coding conventions, and guidelines.
• Intermediate level of experience with Microsoft Office and Electronic Medical Records.

Responsibilities

• Perform concurrent and retrospective chart reviews to improve clinical documentation completeness.
• Stay current with Medicare rules and ICD-10 coding guidelines.
• Investigate coding issues using ICD-10 materials and document results.
• Communicate with providers to obtain documentation specificity.
• Provide leadership for documentation improvement and rationale for recommendations.
• Engage with Physician Advisors and VPMA to resolve provider issues in CDI.

Skills

RN License

Medical Degree

ICD-10 coding

EMR experience

Microsoft Office

CDI experience

CDDS/CDIP

CCS certification

CAC experience

Education

BSN degree

MD degree

Tools

EMR systems

Microsoft Office

Job description

UnitedHealth Group, through Optum Insight, seeks a CDI professional to improve clinical documentation; remote work is available within the U.S. You will review charts, advise on documentation improvements, and collaborate with providers to ensure accurate coding and risk adjustment.

Requirements include an RN license with BSN or a Medical Degree, 3+ years in clinical medicine and ICD-10 coding, plus CDI experience and EMR proficiency. Certification such as CCDS/CDIP/CCDS is preferred.