Clinical Documentation Improvement Specialist

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.

The Clinical Documentation Improvement Specialist (CDS) oversees and implements daily CDI processes, focusing on the accuracy, specificity, and completeness of inpatient clinical documentation for Optum360 clients. Working onsite at client hospitals, the CDS reviews medical records within 24–48 hours of admission, collaborates with providers to clarify documentation, and ensures it reflects the patient’s condition and care accurately. Using Optum™ CDI 3D technology, the CDS enhances documentation quality, supports accurate coding, and promotes revenue integrity. This role involves provider education, coordination with HIM coding professionals, and active engagement with care coordination and quality teams, but does not involve direct patient care.

You’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 experience and CDI certification (CCDS, CDIP) 
• Proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records 
• Experience communicating & working closely with Physicians 

Preferred Qualifications:

• Comprehensive knowledge of production processes, sound understanding of Radiology or Cardiology product 
• Extensive IT knowledge and MS platform, some familiarity of medical imaging industry
• Solid time management and organizational skills, ability to handle concurrent and complex projects
• Solid customer service skills
• Self starter, able to work independently without supervision, willingness of taking initiatives and responsibilities

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.