You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary 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 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 activities
- 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
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.
Required Qualifications
- Associate's degree
- 5+ years of acute care hospital clinical RN experience OR Medical Graduate with CDI experience
- Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology
- Advanced level of proficiency communicating & working closely with Physicians
- Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
Preferred Qualifications
- 3+ years of CDI experience for an acute care hospital
- CCDS, CDIP or CCS certification
- BSN degree if a RN
- CAC experience (Computer Assistant Coding)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary for this role will range from $60,200 - $107,400 annually based on full-time employment.