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RN - Clinical Documentation Improvement Specialist - Remote

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Optum

9d ago

  • Job
    Full-time
    Mid Level
  • Consulting
    Healthcare
  • Baltimore
    Remote

AI generated summary

  • You need an RN license or medical degree, 2-3 years CDI experience, proficiency in EMR and MS Office, and CCDS/CDIP/CCS certification with excellent communication skills.
  • You will review clinical records, ensure guideline adherence, communicate with providers, track productivity, educate team members, and collaborate with leadership for documentation improvement.

Requirements

  • Undergraduate degree or equivalent experience
  • Current RN License or Medical School Graduate
  • For RN: 3+ years CDI experience
  • For Medical School Graduates: 2+ years of CDI experience
  • Experience communicating & working closely with Physicians
  • Basic proficiency using a PC in a Windows environment, including Microsoft Word, Excel, and Electronic Medical Records
  • If RN, BSN degree
  • Current certification as a CCDS, CDIP or CCS
  • 2+ years CDI experience
  • 2+ years of inpatient CDI experience with solid DRG assignment experience
  • Proven excellent verbal and written skills including solid organizational skills
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

  • Provides expert level review of clinical records within 24-48 hours of admission; reviews clinical documentation to ensure consistency and alignment with evidence-based guidelines
  • Conducts clear communication to providers to reinforce evidence-based guidelines are being followed
  • Effectively tracks productivity to allow for accurate/timely reporting of leading indicators and future impact analyses
  • Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rationale for the recommendations
  • Provides educational opportunities for physicians and other health care team members
  • Provides complete follow through on all requests for clarification or recommendations for improvement
  • Participates in the development and execution of education strategies resulting in improved clinical documentation
  • Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes
  • Engages and consults with Medical Director/leadership when needed, per the escalation process, to resolve 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

FAQs

Do we support remote work?

Yes, this position allows for remote work from anywhere within the U.S.

What are the primary responsibilities of this role?

The primary responsibilities include reviewing clinical records, ensuring documentation aligns with evidence-based guidelines, communicating with providers, tracking productivity, providing education, and participating in the clinical documentation improvement process.

What are the required qualifications for this position?

The required qualifications include an undergraduate degree or equivalent experience, a current RN license or being a medical school graduate, and relevant CDI experience (3+ years for RNs and 2+ years for medical school graduates).

Are there any preferred qualifications?

Yes, preferred qualifications include a BSN degree for RNs, current certification as a CCDS, CDIP or CCS, and additional CDI experience.

What is the salary range for this position?

The salary range for this role is $70,200 to $137,800 annually, depending on various factors such as local labor markets, education, and experience.

Is there an application deadline for this job posting?

Yes, the job posting will remain open for a minimum of 2 business days or until a sufficient candidate pool has been collected.

Does UnitedHealth Group promote diversity in its hiring practices?

Yes, UnitedHealth Group values diversity and is an Equal Employment Opportunity/Affirmative Action employer, ensuring all qualified applicants receive consideration without discrimination.

Will I need to pass a drug test before employment?

Yes, candidates are required to pass a drug test before beginning employment.

What types of benefits does UnitedHealth Group offer?

UnitedHealth Group offers a comprehensive benefits package, including an equity stock purchase plan and 401k contributions, though all benefits are subject to eligibility requirements.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.