You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided
- 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 timely feedback to providers regarding clinical documentation opportunities for improvement and successes
- Ensures effective utilization of CDI software to document all verbal, written, electronic clarification activity
- 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
Required Qualifications
- Must be one of the following to qualify:
- A Medical Graduate (MD or MBBS)
- Registered Nurse (RN) with an active, unrestricted RN License in the US and 5+ years of acute care hospital experience
- Current CCDS, CDIP, or CCS Certification OR willing/able to obtain within 1 year or hire
- 2+ years of experience working as a Clinical Documentation Improvement Specialist in an acute care hospital setting
- Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology
- Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
- Must be able to work Pacific Time Zone business hours (Monday - Friday) regardless of remote work base location/residency
Preferred Qualifications
- BSN degree if a RN
- 3+ years of experience working in an acute care hospital
- CAC experience (Computer Assistant Coding)
Soft Skills
- Experience communicating & working closely with Physicians
*All employees working remotely 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. We comply with all minimum wage laws as applicable.