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Optum

Clinical Documentation Integrity Specialist Greenbrae, CA (San Francisco region)

Pay: Not specified

Posted: 5 days ago

Location: San Francisco, CA (Onsite)

Last Updated: 4 days ago

Hours: Full-Time

Expires: 10/1/2026

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What they do

A Clinical Documentation Specialist works with information technology systems and applications in health care organizations. Assists clinicians and staff with technology and implementing new systems. Creates systems for organizing and interpreting data and information for clinical trials. Records and manages clinical information about patients, including health assessments and diagnoses, test results, treatments, and follow up care requirements. Reviews and maintains patient records.

$98,604 / year median in California

-0% projected decline

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Job Description

The Clinical Document Improvement Specialist - (CDS) is responsible for providing CDI program oversight and 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. 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. In this position the CDS will utilizing the Optum™ CDI 3D technology that is assisting hospitals to improve data quality to accurately reflect the quality of care provided and ensure revenue integrity.

Required Qualifications:

5+ years acute care hospital clinical RN experience OR medical graduate with CDI experience and CDI certification (CCDS, CDIP) 1+ years experience as a clinical documentation integrity specialist Reside in a commutable distance to Greenbrae, CA or willing to relocate. XJ6