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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Document Integrity 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. The goal of the CDS oversight and 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 reviews all clinical information and documentation 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 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. Our three-dimensional approach to CDI technology, paired with best-practice adoption methodology and change management support, is helping hospitals make a real impact on CDI efficiency and effectiveness. - Increase in identification of cases with CDI opportunities, with automated review of 100%25 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 have patient care duties, does not have direct patient interactions, and has no role relative to patient care. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation - Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI current trends - Effectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate results - Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity - Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations - Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality - Provides complete follow-through on all requests for clarification or recommendations for improvement - Ensures effective utilization of Optum® CDI 3D Technology to document all clarification activity - Utilizes only the Optum360 approved clarification forms - Proactively develops a reciprocal relationship with the HIM Coding Professionals - Engages and consults with Physician Advisor /VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process 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: - RN License (BSN Required) OR Medical Degree - CCDS or CDIP certification or willing to obtain 6 to 12 months - 5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI experience and CDI certification (CCDS, CDIP) - 3+ years of CDI experience for an acute care hospital Preferred Qualifications: - CCS Certification - CAC experience (Computer Assistant Coding) - Strong understanding of clinical medicine, pathophysiology, and pharmacology - Solid grasp of ICD-10 coding, coding conventions, and guidelines - Proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Core-VA Solutions is a top-tier provider of virtual assistant services, dedicated to assisting businesses and entrepreneurs in optimizing their operations and achieving their objectives. With a team of highly skilled and adaptable virtual assistants, we deliver customized support across a range of essential functions. Job Description: As a USRN at Core-VA Solutions, you will play a vital role in supporting our healthcare clients by providing remote administrative and operational assistance. You will manage a variety of tasks to help healthcare professionals and organizations maximize productivity and focus on patient care. Your responsibilities may include, but are not limited to: - Analyze patient records to track history, medication adherence, and treatment outcomes. - Develop and update individualized care plans. Collaborate with healthcare professionals to ensure comprehensive patient care. - Review and manage medication lists, ensuring accuracy and adherence. Coordinate with pharmacies for prescription refills and resolve medication-related issues. - Maintain accurate records of patient interactions and care plans in electronic health records. - Report significant changes in patient condition to healthcare team members and family. - Ensure adherence to regulations and participate in quality improvement initiatives. - Utilize telehealth platforms for virtual visits. Manage communication via phone, email, and secure messaging. - Assisting with HIPAA compliance and maintaining patient confidentiality. - Managing patient appointments, schedules, and medical records. - Organizing and maintaining healthcare documentation and databases. - Assisting with research, data entry, and report generation related to healthcare initiatives. - Performing other administrative tasks as required in the healthcare setting.

Core-VA Solutions is a top-tier provider of virtual assistant services, dedicated to assisting businesses and entrepreneurs in optimizing their operations and achieving their objectives. With a team of highly skilled and adaptable virtual assistants, we deliver customized support across a range of essential functions. Job Description: As a USRN at Core-VA Solutions, you will play a vital role in supporting our healthcare clients by providing remote administrative and operational assistance. You will manage a variety of tasks to help healthcare professionals and organizations maximize productivity and focus on patient care. Your responsibilities may include, but are not limited to: - Analyze patient records to track history, medication adherence, and treatment outcomes. - Develop and update individualized care plans. Collaborate with healthcare professionals to ensure comprehensive patient care. - Review and manage medication lists, ensuring accuracy and adherence. Coordinate with pharmacies for prescription refills and resolve medication-related issues. - Maintain accurate records of patient interactions and care plans in electronic health records. - Report significant changes in patient condition to healthcare team members and family. - Ensure adherence to regulations and participate in quality improvement initiatives. - Utilize telehealth platforms for virtual visits. Manage communication via phone, email, and secure messaging. - Assisting with HIPAA compliance and maintaining patient confidentiality. - Managing patient appointments, schedules, and medical records. - Organizing and maintaining healthcare documentation and databases. - Assisting with research, data entry, and report generation related to healthcare initiatives. - Performing other administrative tasks as required in the healthcare setting.

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey Short Description Reporting to the Manager of the Clinical Documentation Team the Clinical Documentation. Educator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.) Experience Required Physician coding and compliance experience with significant emphasis on/strong background in Evaluation and Management services. Training and presentation experience with physicians and other clinicians both individually and in groups. Accomplished in the preparation of PowerPoint presentations and other supplemental training materials. Previous work experience in the auditing and coding of professional clinical documentation; both handwritten and electronic medical records. Education Requirements Bachelor’s degree preferred; Associates degree in Nursing or other relevant Associate degree also considered. Proficiency in Microsoft Office applications needed to perform in position; Word, PowerPoint, Outlook and Excel. Confident and professional public speaker with exemplary verbal and written communication skills. Well-versed in using, referring to and researching CMS and other federal and local clinical documentation and compliance guidelines, CPT, ICD-9-CM and HCPCS codes, Evaluation and Management Documentation Guidelines and PATH guidelines. License/Certification Requirements CPC and/or CCS-P; Nursing certification and/or Compliance certification a plus. Valid Driver’s License (will need to travel to CUH satellite locations as necessary) Salary Min ($) USD $36.00 Salary Max ($) USD $59.00