
Job Information
UnitedHealth Group Clinical Documentation Integrity Specialist - National Remote in Tampa, Florida
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime.
We offer 2 - 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Provides concurrent and retrospective review to improve chart documentation
Analyzes chart for missing or incomplete documentation for clinical treatment decisions, diagnoses, and interventions
Identifies opportunities for chart documentation improvement. Creates and analyzes queries to improve clinical documentation of principle diagnosis, co-morbidities, procedures, present on admission status, and quality core measures.
Collaborates with the clinical and ancillary departments to create, improve, and monitor processes that enhance quality and productivity systemwide
Facilitates modifications to clinical documentation
Collects and reviews provider data and information
Verifies coding abstract reflects correct ICD codes
Collaborates with appropriate parts to review cases to ensure accuracy of final coded data.
Assists in developing and reporting on performance measures
Provides education and training
Develops and implements clinical documentation improvement education plans for physicians and qualified health care providers
Creates and executes clinical education for coding staff
Develops education and follow up planning for clinical documentation improvement staff
Other duties as assigned
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:
High School Diploma/GED
Active Registered Nurse with 2+ years of clinical acute care hospital experience OR Medical Graduate with CDI (Clinical Documentation Integrity) experience
Must be 18 years of age OR older
Experience with communicating & working closely with physicians
Proficiency with using a PC in a Windows environment, including Microsoft Word, Microsoft Excel, and Microsoft PowerPoint
Ability to work full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
1+ years of CDI experience
CAC experience
CCDS, CDIP, OR CCS certification
Telecommuting Requirements:
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The salary range for this role is $35,100 to $69,100 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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