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, and to ensure 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 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.

In this position, the CDS will utilize the Optum CDI 3D technology that assists hospitals in improving data quality to accurately reflect the quality of care provided and ensure revenue integrity.

Our three-dimensional approach to CDI technology, paired with best-practice adoption methodology and change management support, helps hospitals make a real impact on 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 the specificity and completeness of clinical documentation, resulting in more accurate coding

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

If you are located in the St. Louis Region, you will have the flexibility to telecommute, as well as attend on-site meetings and education sessions as you take on some tough challenges.

Primary Responsibilities :

Required Qualifications :

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