Clinical Documentation Specialist

Opportunities At OptumAs an Optum employee, you will provide support to the Allina Health account. 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.This position is a hybrid working model and requires candidates to work, on average, 30% of the time in-office at one of the following locations: Minneapolis/St Paul Metro Area. I acknowledge this is a requirement of the role.Primary Responsibilities:Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentationKeep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI trendsEffectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate resultsConducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificityProvides expert level leadership for overall improvement in clinical documentation by providing proficient review and assessment, and effectively articulating recommendations for improvement including the rationale for the recommendationsActively 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 mortalityProvides complete follow through on all requests for clarification or recommendations for improvementEnsures effective utilization of Technology to document all clarification activityCollaborates closely with interfacing departments such as Care Coordination and Quality.Utilizes only the Optum/client approved clarification formsProactively develops a reciprocal relationship with the HIM Coding ProfessionalsEngages and consults with Physician Advisor/CMO when needed, per the hospital defined escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation integrity processYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI experienceAdvanced proficiency in clinical medicine, pathophysiology, and pharmacologyAdvanced proficiency communicating & working closely with PhysiciansIntermediate proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical RecordsPreferred Qualifications:Experience interacting with Providers providing concurrent/chart reviewProven comfortable with technologyPay 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). The salary for this role will range from $72,800 - $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 Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.