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Clinical Documentation Improvement Specialist
2 months ago
At Optum, we're dedicated to delivering care that improves health outcomes and makes a meaningful difference in people's lives. As a Clinical Documentation Improvement Specialist, you'll play a critical role in ensuring the accuracy and completeness of clinical documentation, which is essential for providing high-quality care and ensuring revenue integrity.
Key Responsibilities:- Conduct expert-level reviews of inpatient clinical records to identify gaps in documentation and ensure accuracy and completeness.
- Communicate with providers to clarify information and obtain necessary documentation to support accurate coding and billing.
- Lead the development and execution of physician education strategies to improve clinical documentation practices.
- Collaborate with healthcare teams to ensure effective utilization of Optum CDI 3D Technology and adherence to best practices.
- Monitor and report on CDI metrics, including identification of cases with CDI opportunities and revenue capture.
- 5+ years of acute care hospital clinical RN experience or Medical Graduate with CDI experience and CDI certification (CCDS, CDIP).
- Experience communicating and working closely with physicians.
- Proficiency in using a PC in a Windows environment, including Microsoft Word, Excel, PowerPoint, and Electronic Medical Records.
- Ability to work onsite at a hospital location in Arroyo Grande, CA, full-time (Monday - Friday).
- BSN degree if a RN.
- CCDS, CDIP, or CCS certification.
- Experience in Clinical Documentation Improvement.
- 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.
