Clinical Documentation Integrity (CDI) Specialist

Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

About the role

This position is a Hybrid working model and requires candidates to work, on average, 30% of the time in-office at one of the following locations: Minneapolis/St Paul Metro Area.

Responsibilities

• Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation
• Keep abreast of current coding trends and maintain up-to-date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI trends
• Effectively utilize ICD-10 and related materials to investigate coding issues and produce accurate results
• Conduct daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
• Provide expert-level leadership for overall improvement in clinical documentation by conducting proficient review and assessment, and effectively articulating recommendations for improvement including the rationale for the recommendations
• Actively communicate 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
• Provide complete follow-through on all requests for clarification or recommendations for improvement
• Ensure effective utilization of technology to document all clarification activity
• Collaborate closely with interfacing departments such as Care Coordination and Quality
• Utilize only the Optum/client-approved clarification forms
• Proactively develop a reciprocal relationship with the HIM Coding Professionals
• Engage and consult with Physician Advisor/CMO when needed, per the hospital-defined escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation integrity process

Requirements

• 5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI experience
• Advanced proficiency in clinical medicine, pathophysiology, and pharmacology
• Advanced proficiency communicating & working closely with Physicians
• Intermediate proficiency using a PC in a Windows environment, including Microsoft Word, Excel, PowerPoint, and Electronic Medical Records

Preferred Qualifications

• Experience interacting with Providers providing concurrent/chart review
• Proven comfort with technology

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Pay

The salary for this role will range from $72,800 - $130,000 annually based on full-time employment.