Clinical Documentation Improvement Specialist

2 weeks ago


Arroyo Grande, California, United States UnitedHealth Group Full time

Optum Clinical Documentation Improvement Specialist Job Summary

UnitedHealth Group is seeking a highly skilled Clinical Documentation Improvement Specialist to join our team. This is a patient and physician-facing role that requires strong clinical expertise and effective communication skills. The ideal candidate will have a medical background, experience in CDI, and proficiency in electronic medical records and Microsoft Office.

Key Responsibilities:

  • Provide expert-level review of inpatient clinical records to identify gaps in documentation and ensure accuracy and completeness.
  • Collaborate with providers and healthcare team members to improve documentation and ensure compliance with regulatory requirements.
  • Use Optum CDI 3D technology to document clarification activity and ensure effective utilization.
  • Develop and execute physician education strategies to improve clinical documentation.
  • Engage with Care Coordination and Quality Management teams to evaluate and improve clinical documentation practices.

Requirements:

  • Medical graduate (MD or MBBS) with CDI experience or registered nurse (RN) with an active, unrestricted license in CA and at least 5+ years of clinical experience.
  • Proficiency in PC and Microsoft Office, including Word, Excel, and PowerPoint.
  • Excellent communication and interpersonal skills.
  • Ability to work onsite at a hospital location in Arroyo Grande, CA.


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