Current jobs related to Clinical Documentation Integrity Specialist - San Francisco CA United States - Optum
-
Clinical Documentation Specialist
2 weeks ago
San Francisco, California, United States Optum Full timeOptum Clinical Documentation Integrity Specialist Job DescriptionAt Optum, we are committed to delivering care and improving health outcomes for millions of people around the world. As a Clinical Documentation Integrity Specialist, you will play a critical role in ensuring the accuracy and completeness of clinical documentation in our inpatient medical...
-
Clinical Documentation Specialist
2 weeks ago
San Francisco, California, United States Optum Full timeOptum Clinical Documentation Integrity SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone.The Clinical Documentation Integrity Specialist plays a critical role in ensuring the...
-
Clinical Documentation Integrity Specialist
2 months ago
San Francisco, CA, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Clinical Documentation Specialist
2 weeks ago
San Francisco, California, United States UnitedHealth Group Full timeOptum Clinical Documentation Integrity SpecialistAt UnitedHealth Group, we are committed to helping people live healthier lives and making the health system work better for everyone. As a Clinical Documentation Integrity Specialist, you will play a critical role in ensuring the accuracy and completeness of clinical documentation in the inpatient medical...
-
Clinical Documentation Specialist
2 weeks ago
San Francisco, California, United States Optum Full timeOptum Clinical Documentation Integrity SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.The Clinical Documentation Integrity...
-
Clinical Documentation Integrity Specialist
2 months ago
San Francisco, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Clinical Documentation Integrity Specialist
2 months ago
San Francisco, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Clinical Documentation Integrity Specialist
2 months ago
San Francisco, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Clinical Documentation Specialist
2 weeks ago
, OH, United States Shaker for ChristianaCare Direct Full timeRN Clinical Documentation Integrity Quality & Safety SpecialistWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Documentation Integrity Quality & Safety Specialist. This role will focus on ensuring the accuracy and completeness of clinical documentation, while also promoting quality and safety initiatives within our...
-
Clinical Documentation Integrity Specialist
5 months ago
San Francisco, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Clinical Documentation Integrity Specialist
5 months ago
San Francisco, United States Optum Full timeJob DescriptionOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and...
-
Clinical Documentation Specialist
1 month ago
San Francisco, California, United States CPMC Van Ness Campus Full timeJob SummaryWe are seeking a skilled Clinical Documentation Specialist to join our team at CPMC Van Ness Campus. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records.Key ResponsibilitiesConduct thorough reviews of patient medical records to ensure accurate and complete...
-
RN - Clinical Documentation Specialist - Delaware
2 months ago
San Francisco, California, United States Shaker for ChristianaCare Direct Full timeJob Summary:Shaker for ChristianaCare Direct is seeking a highly skilled Registered Nurse (RN) to fill the role of Clinical Documentation Integrity Education Specialist. This position will be responsible for supporting the documentation of clinicians and CDI staff to improve the quality, accuracy, and completeness of inpatient clinical documentation.Key...
-
Clinical Documentation Specialist
2 weeks ago
San Francisco, California, United States CPMC Van Ness Campus Full timeJob SummaryWe are seeking a highly skilled Clinical Documentation Specialist to join our team at CPMC Van Ness Campus. The successful candidate will utilize their strong clinical experience and knowledge to facilitate complete and specific clinical documentation in the medical record, reflecting the patient's accurate clinical picture.Key...
-
RN Clinical Documentation Specialist
1 month ago
San Francisco, United States R.A.M. Healthcare Consulting Group, Inc. Full time $40 - $45*\*\*RN Clinical Documentation Specialist contract role available in San Francisco!!\*\* *Be part of an elite team with this dynamic role!Please make sure you read the following details carefully before making any applications.Our client is seeking a highly organized and detail-oriented *Clinical Document Specialist* to join our team. The ideal candidate...
-
RN Clinical Documentation Specialist
4 weeks ago
San Francisco, California, United States R.A.M. Healthcare Consulting Group, Inc. Full timeR.A.M. Healthcare Consulting Group, Inc. - Clinical Documentation Specialist Job DescriptionWe are seeking a highly organized and detail-oriented Clinical Documentation Specialist to join our team at R.A.M. Healthcare Consulting Group, Inc. in San Francisco. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and...
-
Clinical Documentation Integrity Specialist
3 weeks ago
Arrowsmith, IL, United States CARLE Full timePerforms inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings. Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information...
-
Clinical Document Improvement Specialist RN
1 month ago
San Francisco, California, United States ALOIS Healthcare Full timeJob Title: Clinical Document Improvement Specialist RNA clinical document improvement specialist RN is needed to assess medical records and documents for compliance with industry regulations. The ideal candidate will analyze medical information to assist healthcare providers, ensure the accuracy of clinical documentation, and train staff on recordkeeping...
-
Travel Nurse RN Clinical Document Specialist
2 weeks ago
San Francisco, California, United States ALOIS Healthcare Full timeJob Title: Clinical Document Improvement Specialist RN Travel NurseALOIS Healthcare is seeking a skilled Clinical Document Improvement Specialist RN Travel Nurse to join our team.About the RoleSpecialty: Clinical Document Improvement SpecialistDiscipline: RNEmployment Type: TravelClinical documentation specialists play a crucial role in ensuring the accuracy...
-
Travel Nurse RN Clinical Document Specialist
1 month ago
San Francisco, California, United States ALOIS Healthcare Full timeJob Title: Clinical Document Improvement Specialist RN Travel NurseALOIS Healthcare is seeking a skilled Clinical Document Improvement Specialist RN Travel Nurse to join our team.About the RoleSpecialty: Clinical Document Improvement SpecialistDiscipline: RNEmployment Type: TravelShift: 8 hours, daysHours per week: 40Clinical documentation specialists play a...
Clinical Documentation Integrity Specialist
4 months ago
The Clinical Document Improvement Specialist - (CDS) is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients. The goal of the CDS oversight and practice is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies all clinical findings and conditions present at the time of service.
This position collaborates with providers and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decisions, and diagnoses for the patient. The CDS utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy, standards, goals, and core values of Optum 360.
In this position the CDS will utilizing the Optum CDI 3D technology that is assisting hospitals to improve data quality to accurately reflect the quality of care provided and ensure revenue integrity.
Our three-dimensional approach to CDI technology, paired with best-practice adoption methodology and change management support, is helping hospitals make a real impact on CDI efficiency and effectiveness.
- Increase in identification of cases with CDI opportunities, with automated review of 100% of records
- Improved tracking, transparency and reporting related to CDI impact, revenue capture, trending, and compliance
- Easing the transition to ICD-10 by improving the specificity and completeness of clinical documentation, resulting in more accurate coding
- This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.
Work Location: onsite at client hospital
Primary Responsibilities:
- Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided
- Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
- Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
- Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
- Performs regular rounding with unit-based physicians and provides Working DRG lists to Care Coordination
- Provides face-to-face educational opportunities with physicians on a regular basis
- Provides complete follow through on all requests for clarification or recommendations for improvement
- Leads the development and execution of physician education strategies resulting in improved clinical documentation
- Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes
- Ensures effective utilization of Optum CDI 3D Technology to document all clarification activity
- Utilizes only the Optum360 approved clarification forms
- Proactively develops a reciprocal relationship with the HIM Coding Professionals
- Coordinates and conducts regular meeting with HIM Coding Professionals to reconsolidate DRGs, monitor retrospective query rates and discuss questions related to Coding and CDI
- Engages and consults with Physician Advisor / VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
- Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities
Required Qualifications:
- 5+ years of acute care hospital clinical RN experience OR Medical Graduate with CDI experience and CDI certification (CCDS, CDIP)
- 1+ years of experience as a clinical documentation integrity specialist
- Experience communicating & working closely with Physicians
- Proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
Preferred Qualifications:
- BSN degree if a RN
- CCDS, CDIP or CCS certification
- CAC experience (Computer Assistant Coding)
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records
California Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
