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Clinical Documentation Improvement, Senior Consultant - Telecommute

UnitedHealth Group

San Diego, CA
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Job Details

738169 Clinical Documentation Improvement Senior Consultant Telecommute

Clinical Documentation Improvement, Senior Consultant - Telecommute (738169)

Position Description

Is it important to you to create an application that will benefit millions of people? At Optum, you are empowered to do your best! You will work with an elite team to create applications using the newest and latest technologies.


If you have a solid track record for innovation and accomplishment, we are eager to speak with you! We hire talented coding professionals who are looking to advance their careers by working for the best company in the healthcare industry. You will have the most opportunities to grow and develop your career while using the skills that you have obtained thus far. Being a leader in healthcare IT, it is always challenging and exciting here at Optum in creating the healthcare system of tomorrow. Join us and start doing your life's best work.(sm)


In this role, you will be involved in developing innovative business solutions by creating new applications, modifying existing applications and providing post production support. Predominantly you will be designing, coding, testing, debugging, documenting and supporting all types of applications consistent with established specifications and business requirements to deliver value to our organization.


You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities: 

  • Ability to participate/lead evaluation/gap analysis of current clinical documentation improvement programs and provide written reports that describe our findings and recommendations for improvement
  • Leveraging previous CDI experience to participate in ongoing refinement of CDI assessment and implementation methodology and approach, including: development of deliverable templates, workflows, training manuals/content; integration with technology
  • Assist service offering leader with solution development and sales support of CDI through proposal development, responding to RFPs, development and delivery of client presentations
  • Engagement participation and overall quality assurance of deliverables as an individual and as an engagement team
  • Act as Project Lead during engagements as required by management/practice
  • Participate in industry events and speaking engagements to promote CDI expertise and capabilities

Required Qualifications:

  • Must have either the CCDS/CDIP credential or be an RN/NP/MD/PA/RHIA/RHIT with prior CDI hospital based consulting experience to be considered
  • 5+ years of direct experience in working as a CDI Specialist or in development of CDI program in the acute care
  • Prior healthcare consulting experience
  • Strong understanding of clinical, HIM, Quality and Case Management workflow
  • Individual must be proficient in ICD-10-CM Diagnosis/Procedures Codes, MS-DRG reimbursement and clinical documentation requirements (coder credentials not required)
  • Has facilitated physician education or has experience in working directly and communicating with physicians
  • Ability to travel 70-80%

Preferred Qualifications:

  • Undergraduate or Graduate degree
  • Clinical Documentation Improvement Specialist/Professional (CCDS/CDIP) credentials through AHIMA or ACDIS
  • License: RN, Nurse Practitioner (NP), MD, Physician Assistant (PA), RHIA/RHIT
  • Experience providing CDI-based training to physicians and CDI Specialists
  • ICD-10 experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy



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.



Job Keywords: CCDS, CDIP, RN, NP, MD, PA, RHIA, RHIT, CDI, travel, documentation specialist, telecommute, remote, work from home

Job Details

  • Contest Number738169
  • Job TitleClinical Documentation Improvement, Senior Consultant - Telecommute
  • Job FamilyOptumInsight Consulting
  • Business SegmentOptumInsight

Job Location Information

  • San Diego, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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