Clinical Document Improvement Specialist Manager

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Document Improvement Specialist Manager 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 Supervisor oversight and practice is to support the CDI Director function by providing staff oversite, assisting with monthly reporting and auditing, as well as, mentoring and orientation of new staff and attending client meetings. The Supervisor will assure via assessment, and teaching staff and providers 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 collaborates with the CDI Director, providers and other healthcare team members 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. This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.

Primary Responsibilities:

• The CDI Manager supports the CDI Director by assisting with chart audits, quality audits, and KPI reviews, as well as generating reports and participating in on-site meetings as needed
• This role oversees the training, orientation, and daily workflow of CDI staff, ensuring adequate staffing levels and stepping in to support the team during periods of high workload
• Responsible for developing and delivering physician education and presentations, approving timecards, conducting coaching sessions and evaluations, and executing other assigned tasks
• Communicates leadership performance expectations to CDI staff and plays a key role in maintaining operational efficiency and quality standards across the department
• Ensures and oversees 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
• Leads the development and execution of physician education strategies resulting in improved clinical documentation
• Ensures effective utilization of the CAC / Midas Clinical Documentation Improvement Focus Study, ensuring documentation of all verbal, written, electronic clarification activity
• Utilizes only the Optum360 approved forms, whether paper or electronic
• Proactively develops a reciprocal relationship with the HIM Coding Professionals

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:

• RN or Foreign Medical Graduate with 3+ years of CDI experience
• CCDS, CDIP or CCS certification within a year of hire
• Comfortable communicating & working closely with Physicians
• Solid understanding of Microsoft, Word, Excel, and work related software

Preferred Qualifications:

• BSN degree
• Experience in case management and / or critical care
• CDI Supervisor or Management experience
• Ability to multi-task and lead teams
• Ability to present, speak in public and lead projects with complex responsibilities and timelines
• Excellent verbal and written skills including solid organizational skills
  

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 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. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.