Clinical Documentation Integrity Specialist – National Remote

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.   

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm MST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 – 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Provides concurrent and retrospective review to improve chart documentation
• Analyzes chart for missing or incomplete documentation for clinical treatment decisions, diagnoses and interventions
• Identifies opportunities for chart documentation improvement. Creates and analyzes queries to improve clinical documentation of principle diagnosis, co-morbidities, procedures, present on admission status and quality core measures
• Collaborate with the clinical and ancillary departments to create, improve and monitor processes that enhance quality and productivity systemwide
• Facilitate modifications to clinical documentation
• Collects and reviews provide data and information
• Verifies coding abstract reflects correct ICD codes
• Collaborates with appropriate parts to review cases to ensure accuracy of final coded data
• Assists in developing and reporting on performance measures
• Provides education and training
• Develop and implement clinical documentation improvement plans for physicians and qualified health care providers
• Creates and executes clinical education for coding staff
• Develop education and follow up planning for clinical documentation improvement staff
• Other duties as assigned

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:

• High School Diploma/GED (or higher)
• Active Registered Nurse (RN) or Medical Graduate with CDI (Clinical Documentation Integrity)
• 1+ years of experience with CDI (Clinical Documentation Integrity)
• 1+ years of experience with communicating & working closely with physicians
• Intermediate level of proficiency with PC in a Windows environment, including Microsoft Word, Microsoft Excel and Microsoft PowerPoint
• Ability to work full time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm MST. It may be necessary, given the business need, to work occasional overtime
• Must be 18 years of age OR older

Preferred Qualifications:

• 2+ years of clinical acute care hospital experience
• 2+ years of CDI experience
• CAC experience
• CCDS, CDIP, or CCS certification

Telecommuting Requirements: 

• Ability to keep all company sensitive documents secure (if applicable) 
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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 $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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