Associate Clinical Documentation Improvement Specialist - Remote in MN or WI

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. Employees are required to have flexibility to work any shift schedules during our normal business hours of 8:00 am - 5:00 pm.

We offer 6 - 8 weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment. First day is onsite.

If you are located in MN or WI, you will have the flexibility to work remotely* 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.
• Evaluates payer denials for proper diagnoses and code assignment.
• 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
• RN MN Board of Nursing (RNMNBN), Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA) OR Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
• Must be 18 years of age OR older
• 2+ years acute care nursing experience OR 2+ years inpatient coding experience
• Must have the ability to come onsite for day one training and to pick up equipment at 2925 Chicago Avenue Minneapolis, MN 55440
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  Ability to work between the hours of 8:00 AM - 5:00 PM

  
  

Preferred Qualifications:

• CCDS OR CDIP certification
• Experience communicating and working closely with physicians
• Proficiency using a PC in a Windows environment, including Microsoft Word, Microsoft Excel, Microsoft Power Point, and Electronic Medical Records

Telecommuting Requirements:

• Reside within MN or WI
• 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