Onsite CDI Manager

UnitedHealth Group•Owensboro, KY

17h•$91,700 - $163,700•Onsite

About The Position

The Clinical Document Improvement Specialist Manager provides CDI program oversight and day-to-day implementation of processes for concurrent review of clinical documentation in inpatient medical records for Optum 360 clients. The role supports CDI operations by overseeing staff, providing a resource to the team, and performing CDI review functions. It assesses and teaches staff and providers to ensure clinical documentation is technically accurate, specific, and complete, and that it identifies all clinical findings and conditions present at the time of service. The Manager collaborates with the CDI Director, providers, and other healthcare team members to improve documentation so it accurately reflects the patient’s clinical treatment, decisions, and diagnoses. The role uses clinical expertise, CDI practices, and facility-specific tools to support best practice and compliance with Optum 360’s mission, standards, goals, and core values. It has no patient care duties or direct patient interactions. Travel to a facility twice a week is required, and travel to meetings at other facilities may also be required. The position is based in Owensboro, Kentucky, and requires 10–25% travel. Compensation is $91,700–$163,700 annually based on full-time employment and multiple factors. Benefits and incentives are subject to eligibility requirements.

Requirements

At least 5 years of acute-care hospital clinical RN experience, or medical graduate status with CDI experience and a CDI certification (CCDS or CDIP).
At least 2 years of experience communicating and presenting to physicians.
Proficiency using a PC in a Windows environment, including Microsoft Word, Excel, PowerPoint, and electronic medical records.
Ability to work in Owensboro, Kentucky.
Ability to travel 10–25%; must have reliable transportation, a driver’s license, insurance, and a clean driving record.

Nice To Haves

BSN degree if a registered nurse.
CCDS, CDIP, or CCS certification.
People management experience.
Experience in Clinical Documentation Improvement.
CAC (Computer Assisted Coding) experience.

Responsibilities

Conduct chart, quality, and KPI audits.
Run reports and attend onsite meetings as directed.
Oversee CDI staff training and orientation.
Oversee and lead CDI staff workflows.
Develop physician education and onsite presentations.
Assist the CDI Director with projects and tasks as needed.
Approve timecards, coach staff, and conduct evaluations.
Communicate leadership performance expectations to CDI staff.
Oversee expert-level review of inpatient clinical records within 24–48 hours of admission and identify documentation gaps requiring clarification for accurate code assignment and reflection of patient severity and acuity of care.
Ensure daily follow-up communication with providers about outstanding clarifications and needed documentation.
Provide expert leadership to improve clinical documentation through proficient review and assessment, and clearly explain recommendations and their rationale.
Communicate with providers at all levels to clarify information and documentation requirements for diagnoses reflecting severity of illness and risk of mortality.
Provide face-to-face physician education.
Follow through on requests for clarification and recommendations for improvement.
Lead development and execution of physician education strategies to improve clinical documentation.
Provide timely feedback to providers on documentation improvement opportunities and successes.
Ensure effective use of the CAC tool and documentation of verbal, written, and electronic clarification activity.
Use only Optum360-approved paper or electronic forms.
Develop a reciprocal working relationship with HIM Coding Professionals.
Coordinate and conduct regular meetings with HIM Coding Professionals to monitor retrospective query rates and address issues.
Engage and consult with the Physician Advisor when needed under the escalation process to resolve provider issues related to clarifications and participation in CDI.
Actively engage with Quality Management teams.
Perform other duties as assigned.