Clinical Documentation Specialist

1 week ago


Kentfield, California, United States Optum Full time
Optum Clinical Documentation Specialist Opportunity

At Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Clinical Documentation Specialist, you'll play a critical role in ensuring the accuracy and completeness of clinical documentation, driving revenue integrity, and enhancing the quality of care.

Key Responsibilities:
  • Conduct expert-level reviews of inpatient clinical records to identify gaps in documentation and ensure accurate code assignment.
  • Collaborate with providers to clarify information and communicate documentation requirements for accurate diagnoses.
  • Lead the development and execution of physician education strategies to improve clinical documentation.
  • Utilize Optum CDI 3D Technology to document clarification activity and ensure effective utilization of approved clarification forms.
  • Engage with Care Coordination and Quality Management teams to evaluate and spearhead clinical documentation improvement opportunities.
Requirements:
  • 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.
  • Proficiency in using a PC in a Windows environment, including Microsoft Word, Excel, PowerPoint, and electronic medical records.
  • Experience communicating and working closely with physicians.
  • Reside in a commutable distance to Greenbrae, CA.
Preferred Qualifications:
  • BSN degree if a RN.
  • CCDS, CDIP, or CCS certification.
  • CAC experience (Computer-Assisted Coding).

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.

By applying, you consent to your information being transmitted by GenZJobs to the Employer, as data controller, through the Employer's data processor SonicJobs.



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