Associate Clinical Document Improvement Specialist

UnitedHealth Group • Eden Prairie, MN

54d • $60,200 - $107,400 • Remote

About The Position

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, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

• RN License (BSN Required) OR Medical Degree
• 3+ yeas of clinical medicine, pathophysiology, and pharmacology experience
• 3+ years of experience with ICD-10 coding, coding conventions, and guidelines
• Intermediate level of experience with Microsoft Office and Electronic Medical Records

Nice To Haves

• 3+ years of CDI experience for an acute care hospital
• 5+ years of acute inpatient hospital coding with certifications
• 5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI
• Experience and CDI certification (CCDS, CDIP)
• CCDS, CDIP or CCS certification
• BSN degree if a RN
• CAC experience (Computer Assistant Coding)

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 Optum360 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

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level