Clinical Documentation Improvement Specialist
$72.8k - $130kOptum
Optum 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 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 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 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Associate's degree 5+ years of acute care hospital clinical RN experience OR Medical Graduate with CDI experience Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology Advanced level of proficiency communicating & working closely with Physicians Intermediate level of 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 3+ years of CDI experience for an acute care hospital CAC experience (Computer Assistant Coding) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #RED
$72.8k - $130k
...The work you do with our team will directly improve health outcomes by connecting people with... ...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...SuggestedMinimum wageFull timeWork experience placementLocal area- ...community General Summary: The Ambulatory/Professional Fee Clinical Documentation Specialist (CDS) serves as an advisor and expert resource to... ...colleagues coding teams and other organizational partners to improve documentation practices and support compliant patient...SuggestedFull timeReliefWork at officeWork from homeShift workWeekend work
$72.8k - $130k
...work you do with our team will directly improve health outcomes by connecting people... ...Provides expert level review of inpatient clinical records within 24-48 hours of admit;... ...clarify information and to communicate documentation requirements for appropriate diagnoses...SuggestedMinimum wageFull timeWork experience placementLocal area- ...UnitedHealth Group is seeking a Clinical Documentation Improvement Specialist to work remotely from anywhere in the U.S. The role focuses on reviewing clinical records for accuracy and coding alignment, and collaborating with physicians to improve documentation. Candidates...SuggestedRemote work
- Optum is seeking a Clinical Documentation Improvement (CDI) Specialist to review inpatient records and guide physicians toward evidence-based coding in a remote role across the U.S. The position emphasizes collaboration with Care and Quality teams and requires strong communication...SuggestedRemote job
$72.8k - $130k
...analysis and translation of medical and clinical diagnoses, procedures, injuries, or... ...8 hours of admission; reviews clinical documentation to ensure consistency and alignment with... ...Provides expert level leadership for overall improvement in clinical documentation by providing...Remote jobMinimum wageFull timeContract workWork experience placementLocal area- ...Clinical Document Improvement Specialist Location: Orange, CA (92868) Duration: 52 Weeks Shift Details: Day Shift: Monday Friday (5x8 Hours) Timing: 8:00 AM 5:00 PM Weekend Coverage Required Work Mode: Hybrid Position Summary The Clinical Documentation...Monday to FridayShift workWeekend workDay shift
$71.7k - $105k
...working together to coordinate care, remove barriers, and improve quality of life for some of the most medically and... ...shared commitment to honoring what matters most. The Clinical Documentation Integrity (CDI) Specialist supports accurate, complete, and clinically specific...$26.4 per hour
...and experienced Medical Coding Specialist to support accurate medical billing and coding and documentation initiatives. In this role,... ...providers and operational teams to improve coding accuracy. The ideal... ...required. ~ Knowledge of clinical standards, preventive care,...Work at office- Join our dedicated healthcare team as a Medical Records Assistant and make a meaningful impact by providing compassionate care to those in need. The Springs Post-Acute is a 99-bed Skilled Nursing Facility with a Post-Acute Rehabilitation setting. Our exceptional care...Full timeWork at officeFlexible hoursShift work
- We are seeking a detail-oriented File Clerk to organize, label, and maintain company documents and invoices. Key Responsibilities: Pull, sort, and organize invoices and paperwork. File documents alphabetically (AâZ). Prepare banker boxes and label them with the appropriate...Hourly pay
- ...quality and effectiveness in work habits and clinical practice; and treats co-workers,... ...hospital as well as at the time of discharge.Documentation:Charting is accurate, legible, dated,... ...in departmental performance improvement activities, i.e., planning, measuring/monitoring...Daily paidFull timeLocal areaFlexible hoursShift workAfternoon shift
- ...quality and effectiveness in work habits and clinical practice; and treats co-workers,... ...hospital as well as at the time of discharge.Documentation:Charting is accurate, legible, dated,... ...in departmental performance improvement activities, i.e., planning, measuring/monitoring...Daily paidFull timeLocal areaFlexible hoursShift workAfternoon shift
- ...Center's strategic plan and goals and direction of the performance improvement plan. The employee will also be expected to support all... ...Prioritizes and coordinates essential job functions. 7. Completes and documents all applicable registration forms. 8. Obtains eligibility,...Work at office
$19 - $22 per hour
...the West and Central U.S. Whether in the clinic or behind the scenes, were all about... ...information, insurance details, and necessary documentation accurately. Help create a positive... ...and contribute ideas for process improvement. Ensure cleanliness and organization...Full timeReliefWork at office$60k - $67k
...Global Professional Recruiter at Insight Global Job Title: Document Control Specialist Day to Day: Insight Global is looking for a Document... ...standards. You'll collaborate with cross-functional teams, improving and documenting processes to enhance the workflow and help...Full timeTemporary work$29.04 - $43.56 per hour
...to care, and collaborating closely with clinical and operational teams to ensure... ...supporting operational initiatives that improve patient satisfaction, retention, and overall... ...Assist patients with applications and documentation for eligible programs and services**Patient...Work at office- ...Responsible for clerical functions, accurate maintenance of patient documentation including order entry and coordination of patient admission,... ...'s strategic plan and goals and direction of the performance improvement plan. The employee will also be expected to support all...
- Iron Mountain Incorporated is seeking a detail-oriented Document Scanning Specialist for our Operations team in Cerritos, CA. The role involves preparing documents and scanning hardcopy files to produce high-quality digital images, helping drive daily production goals....Full timeTemporary work
- ...Responsible for clerical functions, accurate maintenance of patient documentation including order entry and coordination of patient admission,... ...’s strategic plan and goals and direction of the performance improvement plan. The employee will also be expected to support all...Work at officeImmediate start
- ...Overall Responsibility: The Safety Specialist partners with site leaders to develop, implement, and continuously improve Environmental, Health & Safety (EHS) programs... ...Maintain accurate safety records, reports, and documentation. Collaborate cross-functionally to...Work at officeLocal area
$49.66k - $68.45k
...with healthcare providers to clarify documentation and obtain additional information as needed... ...audits and provide feedback for improvement Maintain confidentiality of patient information... ...field preferred Certified Coding Specialist (CCS) or Certified Professional Coder...Remote jobFull timeWork at officeHome office$16 - $29 per hour
...with our team will directly improve health outcomes by connecting... ...accuracy and required documentation is obtained and complete Meet... ...facility location. Supports clinical bed management duties by ensuring... ...and / or facility financial specialists (i.e., Financial Clearance...Hourly payDaily paidMinimum wageFull timePart timeWork experience placementWork at officeLocal areaRelocation packageMonday to FridayFlexible hours- ...and follow up on missing medical records. Prepare, scan, and file medical records and loose reports accurately. Prepare documents for storage by scanning or boxing. Assist physicians and ancillary staff with health information requests. Answer telephones...
- ...Quality Documentation Technician Quality Documentation Technician Murrietta Circuits – Anaheim, CA Murrietta Circuits is seeking a detail... ...committed to quality, customer satisfaction, and continuous improvement. Benefits Medical, Dental, and Vision Insurance Paid Holidays...Hourly payWork at office
$21 - $22 per hour
Patient Coordinator (Medical Receptionist - Full Time): Anaheim, CA Schweiger Dermatology Group is one of the leading dermatology practices in the country with over 400 healthcare providers and over 170 offices in New York, New Jersey, Pennsylvania, Connecticut, Florida...Full timeWork at officeLocal areaMonday to FridayFlexible hoursWeekend workWeekday work$22 - $25 per hour
...whole people. Behind that experience is a dedicated, interdisciplinary team working together to coordinate care, remove barriers, and improve quality of life for some of the most medically and socially complex populations.For employees, myPlace Health offers the...Hourly payFull timeWork at officeLocal area$140.47k - $190.04k
...Senior Oncology Specialist - EMERALD - Orange County CA Territory covers: Anaheim, CA -... ...the liaison to our customers by providing clinical knowledge of our products to medical... ...committed to advancing science to dramatically improve people's lives. As a values-based...Local areaRemote workRelocationFlexible hours- ...transactions. Maintain electronic medical records and complete administrative paperwork. Communicate effectively with providers and clinical staff. Maintain patient confidentiality and follow HIPAA requirements. Keep the reception area organized and professional....Full timeWork at officeMonday to Friday
$23 per hour
...dissemination of information to the medical record and information system, and reports direction to the Front Office Supervisor, and/or Clinic Supervisor All qualified applicants will receive consideration for employment without regard to race, color, national origin, age...Work at officeLocal area
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