Associate Clinical Document Improvement Specialist

We need to output HTML fragment with sections for headings where content exists. Must not repeat job title. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. Remove boilerplate, navigation, legal, EEO, etc. Also remove duplicated lines, application instructions. Must preserve all substantive information. Let's parse the posting. First paragraph: "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." That's about the role/company. Could be "About the role" or maybe "About the role". We'll put that in

About the role

with

containing that text (maybe trimmed). Should we include the telecommute flexibility? Yes. Next: "Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation" etc. That's a list of duties/responsibilities. Let's extract each bullet-like sentence. List: - 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 These are responsibilities. We'll put under

Responsibilities

with

• each. Next: "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's maybe about benefits or culture. Could be part of "Benefits" or "About the role". But we have a Benefits section later with specifics. This sentence is generic reward/recognition; maybe we can include under Benefits? But Benefits section should have actual benefits listed: "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)." Also "No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives." That's benefits. Thus we can put Benefits section with that content. Pay: "The salary for this role will range from $60,200 to $107,400 annually based on full-time employment." Also earlier: "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." So we have pay info. We'll include Pay section. Schedule: Not explicitly mentioned besides telecommute flexibility. No schedule details like full-time/part-time, hours. Not given. So we should NOT create Schedule section because no specific content. Skills: Not explicitly listed as a separate section; but we have qualifications and requirements. Could combine Requirements and Qualifications? The instruction says use headings for Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what goes where. We have "Required Qualifications" list: RN License (BSN Required) OR Medical Degree; 3+ years 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. Then "Preferred Qualifications": 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 RNC; AC experience (Computer Assistant Coding); All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. We could treat Required Qualifications as Requirements section, and Preferred Qualifications as Qualifications section. Or we could merge. The instruction: Use headings for Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need both Requirements and Qualifications sections if content exists. Thus:

  Requirements

  with
  of required qualifications.

  Qualifications

  with
  of preferred qualifications. Skills: Not explicitly listed; maybe we could infer from required qualifications (ICD-10 coding, Microsoft Office, EMR). But we should not invent. If no explicit skills section, we should omit Skills heading. Benefits: we have content. Pay: we have content. Schedule: none -> omit. About the role: we have introductory paragraph. Now we need to remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Also remove lines like "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." That's application instructions/boilerplate; remove. Also remove lines about UnitedHealth Group mission, EEO, drug-free workplace, etc. Those are boilerplate; remove. Also remove "#RPO #GREEN" etc. Also remove "All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy." That's actually part of Preferred Qualifications? It appears under Preferred Qualifications list. It's a requirement for telecommuters; we can keep it as part of Preferred Qualifications (makes sense). It's not boilerplate; it's a condition. Now we need to preserve all substantive information. Ensure we didn't lose any. Let's compile sections. About the role paragraph: combine the first few sentences up to "You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges." Also maybe include the earlier mission statement? That is more about company; but it's part of About the role? The first paragraph includes "Optum Insight is improving the flow...". That's substantive. We'll keep that. Now Responsibilities: list as above. Requirements: list required qualifications. Qualifications: list preferred qualifications. Benefits: include "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." Also maybe mention "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's more about recognition and development; could be part of Benefits or maybe a separate section like "Rewards and Development". But we don't have a heading for that; we could incorporate into Benefits as it's about rewards. We'll include it in Benefits paragraph. Pay: include "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." and "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." Also maybe mention "Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records." That's not pay; it's EEO/legal; but it's about hiring practice; could be considered boilerplate? It's a legal statement; might be considered boilerplate but it's substantive about fair chance. However instruction says remove EEO/equal-opportunity boilerplate. This is a fair chance ordinance statement; likely considered EEO boilerplate. So remove. Also remove "At UnitedHealth Group, our mission is to help people live healthier lives..." etc. That's boilerplate. Now we need to ensure we didn't duplicate content. Let's draft HTML. We'll output:

  About 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, 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.

  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

  Requirements

  • RN License (BSN Required) OR Medical Degree
  • 3+ years 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

  Qualifications

  • 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, CD