Clinical Documentation Integrity Specialist

Position Location : St. Louis, Missouri

(Need to be onsite for meetings)

The Clinical Document Integrity Specialist (CDS) is responsible for 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 CDS practice is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, ensuring that the documentation explicitly identifies all clinical findings and conditions present at the time of service.

This position collaborates with providers and other healthcare team members to improve accurate, comprehensive documentation reflecting the clinical treatment, decisions, and diagnoses. The CDS utilizes clinical expertise, clinical documentation improvement practices, and facility-specific tools for best practices and compliance with Optum 360's standards and values.

The CDS will utilize the Optum CDI 3D technology to help hospitals improve data quality, accurately reflect care quality, and ensure revenue integrity.

Our three-dimensional approach to CDI technology, combined with best-practice adoption and change management support, helps hospitals enhance CDI efficiency and effectiveness.

• Increase in identification of cases with CDI opportunities, with automated review of 100% of records
• Improved tracking, transparency, and reporting related to CDI impact, revenue capture, trending, and compliance
• Easing the transition to ICD-10 by improving documentation specificity and completeness, leading to more accurate coding

This position does not involve patient care duties, direct patient interactions, or roles related to patient care.

If located in the St. Louis region, you will have the flexibility to telecommute, as well as attend on-site meetings and education sessions to tackle some challenging tasks.

Primary Responsibilities :

Employees are recognized for their performance in a challenging environment that offers clear success pathways and development opportunities.

Required Qualifications :

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