Clinical Excellence Specialist

4 days ago


Eden Prairie, Minnesota, United States Optum Full time
About the Role:
The Senior Clinical Practice Performance Consultant will apply clinical expertise and knowledge of documentation guidelines to ensure quality of clinical documentation across Optum Health. This position collaborates with a multidisciplinary team of clinicians, operations, and coding professionals as a member of the Clinical Documentation Review team within Optum Clinical Excellence.

Key Responsibilities:
  • Performs clinical chart reviews to ensure documentation accuracy by applying established clinical criteria for the diagnosing of medical conditions.
  • Reviews reported diagnoses for clinical validation within the visit note or medical record.
  • Identifies documentation errors and opportunities for documentation improvement and documents review findings in a standardized form/audit tool.


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