Associate Clinical Documentation Improvement Specialist
unitedhealth groupPhoenix, AZ
$60,200 to $107,400 annuallyAPPLY NOW
Associate Clinical Documentation Improvement Specialist
unitedhealth groupPhoenix, AZ
7 days ago
Occupations
Health Information Technologists and Medical RegistrarsMedical Records SpecialistsHealthcare Diagnosing or Treating Practitioners, All OtherIndustries
Offices of Physicians (except Mental Health Specialists)General Medical and Surgical HospitalsAll Other Miscellaneous Ambulatory Health Care Services$60,200 to $107,400 annually
APPLY NOWAbout the role
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, andultimately consumers. Our deep expertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management, qualityand revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Clinical Document Improvement Specialist - (CDS) is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients. The goal of the CDS oversight and practice is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies all clinical findings and conditions present at the time of service.
This position reviews all clinical information and documentation to make improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decisions, and diagnoses for the patient. The CDS utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy, standards, goals and core values of Optum 360. In this position the CDS will utilizing the Optum™ CDI 3D technology that is assisting hospitals to improve data quality to accurately reflect the quality of care provided and ensure revenue integrity.
Our three-dimensional approach to CDI technology, paired with best-practice adoption methodology and change management support, is helping hospitals make a real impact on CDI efficiency and effectiveness.
Increase in identification of cases with CDI opportunities, with automated review of 100% of records
Improved tracking, transparency and reporting related to CDI impact, revenue capture, trending, and compliance
Easing the transition to ICD-10 by improving the specificity and completeness of clinical documentation, resulting in more accurate coding
This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.
You'llenjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you willbe requiredto work in theoffice fora minimum of four days per week.
*Work Location: Remote within the United States *
Primary Responsibilities:
Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation
Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI current trends.
Effectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate results
Conducts daily follow‑up communication with providers regarding existing clarifications to obtain needed documentation specificity
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 rational for the recommendations
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
Provides complete follow through on all requests for clarification or recommendations for improvement
Ensures effective utilization of Optum® CDI 3D Technology to document all clarification activity
Utilizes only the Optum 360 approved clarification forms
Proactively develops a reciprocal relationship with the HIM Coding Professionals
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
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:
2+ years acute care hospital clinical RN experience OR Medical Graduate with CDI experience and CDI certification (CCDS, CDIP)
Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
Preferred Qualifications:
CCDS, CDIP or CCS certification
Experience in Clinical Documentation Improvement
BSN degree if a RN
CAC experience (Computer Assistant Coding)
Experience communicating & working closely with Physicians
*All Telecommuters will be required to adhere to United Health 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
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 $60,200 to $107,400 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 United Health 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.
Diversity creates a healthier atmosphere: United Health Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
United Health Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #GREEN
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JOB OVERVIEW
Salary
$60,200 to $107,400 annually
Experience level
Senior
Location
Phoenix, AZ
Occupation
Health Information Technologists and Medical Registrars
Industry
Offices of Physicians (except Mental Health Specialists)
Posted
7 days ago
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