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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• Minnesota Registered Nurse, 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• Ability to work between the hours of 8:00 AM - 5:00 PMPreferred 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 RecordsTelecommuting 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  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. 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.#RPO
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What You Should Know About Associate Clinical Documentation Improvement Specialist - Remote in MN or WI, UnitedHealth Group

Are you ready to make a real impact on healthcare? Join Optum as an Associate Clinical Documentation Improvement Specialist, where your skills will help improve health outcomes for millions. Based in Minneapolis, MN, but open to remote work in MN or WI, this full-time position offers you a chance to connect people with the resources they need to thrive. You'll embark on a rewarding journey with comprehensive training, plenty of flexibility, and a team focused on advancing health equity. As an Associate Clinical Documentation Improvement Specialist, you'll play a vital role by reviewing clinical charts and enhancing documentation processes to ensure high-quality care. Your work will involve identifying opportunities for improvement, analyzing clinical data, and collaborating with various departments to refine and maintain documentation standards. Not only will you educate physicians and coding staff on best practices, but you'll also be actively working to verify coded data accuracy and evaluate payer denials. At Optum, we celebrate diversity and inclusion, ensuring that our work environment is one where everyone feels valued. If you're a positive, detail-oriented individual with a nursing or coding background, we want you to join us in changing lives. Plus, with our commitment to your career growth, you'll find ample opportunities to advance your skills and explore new roles within the healthcare industry. Come be part of a culture where caring, connecting, and growing together is at the heart of everything we do!

Frequently Asked Questions (FAQs) for Associate Clinical Documentation Improvement Specialist - Remote in MN or WI Role at UnitedHealth Group
What are the main responsibilities of an Associate Clinical Documentation Improvement Specialist at Optum?

As an Associate Clinical Documentation Improvement Specialist at Optum, your primary responsibilities will include concurrent and retrospective reviews of clinical documentation to identify areas for improvement. You'll analyze charts for missing or incomplete documentation, create and analyze queries, and collaborate with clinical departments to enhance quality and productivity across the organization. Additionally, you will assist in training healthcare providers on documentation best practices and developing education plans for clinical staff.

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What qualifications are necessary to become an Associate Clinical Documentation Improvement Specialist at Optum?

To qualify for the Associate Clinical Documentation Improvement Specialist position at Optum, you need a High School Diploma/GED and either be a Minnesota Registered Nurse or hold a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification. Furthermore, you should have at least 2 years of acute care nursing or inpatient coding experience, with an understanding of ICD coding and clinical documentation standards.

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Is remote work possible for the Associate Clinical Documentation Improvement Specialist role at Optum?

Yes! The Associate Clinical Documentation Improvement Specialist position at Optum allows for remote work as long as you reside in Minnesota or Wisconsin. This flexibility means you can manage your work-life balance while still having the opportunity to make impactful contributions to healthcare from the comfort of your home.

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What kind of training does Optum provide for new Associate Clinical Documentation Improvement Specialists?

Optum provides an excellent training program for new hires, typically spanning 6 to 8 weeks. This training will help familiarize you with the tools, processes, and expectations associated with the Associate Clinical Documentation Improvement Specialist role. Training hours and schedules will be discussed on your first day of employment, ensuring you get the support you need to succeed.

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How can I prepare for an interview for the Associate Clinical Documentation Improvement Specialist position at Optum?

To prepare for an interview for the Associate Clinical Documentation Improvement Specialist role at Optum, it's essential to review the key responsibilities of the job, understand clinical documentation standards, and be ready to discuss your experience with coding and documentation processes. Additionally, familiarize yourself with Optum's mission and values to demonstrate your alignment with their goal of improving health outcomes.

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Common Interview Questions for Associate Clinical Documentation Improvement Specialist - Remote in MN or WI
Can you explain your experience with clinical documentation improvement?

When answering this question, highlight specific examples from your previous roles that demonstrate your ability to enhance clinical documentation. Discuss the strategies you have employed, challenges you've faced, and how your efforts led to measurable improvements in documentation quality.

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How do you handle discrepancies in clinical documentation?

Addressing discrepancies requires a systematic approach. Share your method for identifying and resolving these discrepancies, including how you engage with healthcare providers to communicate effectively and ensure that all documentation aligns with industry standards.

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What tools or software do you prefer for analyzing clinical data?

Mention any relevant tools or software you're skilled in, such as Electronic Medical Records (EMR) systems or specific coding software. Explain why you prefer these tools and how they enhance your ability to analyze data efficiently.

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Describe how you collaborate with clinical staff to improve documentation practices.

Collaboration is key in this role. Illustrate how you've previously worked with clinical staff, emphasizing your communication skills, ability to provide education, and how you have fostered positive working relationships to drive improvements in documentation practices.

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How do you stay updated on industry regulations and coding practices?

Share your methods for staying informed, such as attending workshops, engaging in professional organizations, and reading relevant literature. Highlight your commitment to continuous learning in the field of clinical documentation and coding.

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What strategies do you use to educate providers about documentation standards?

Discuss your experience developing educational materials and conducting training sessions. Emphasize the importance of effective communication to ensure understanding and engagement during these training efforts.

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Can you give an example of a time you improved a process related to documentation?

Provide a specific example where you identified an inefficiency in a documentation process and outline the steps you took to improve it, the outcome of that change, and how it benefited the overall workflow.

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How do you prioritize your work when faced with multiple deadlines?

Describe your organizational skills and methods for prioritizing tasks. You might discuss how you assess urgency, impact, and resource availability to focus on the most critical tasks first while ensuring timely completion.

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What motivates you in your role as an Associate Clinical Documentation Improvement Specialist?

Share personal insights into what drives you, whether it's the desire to improve patient outcomes, help healthcare providers succeed, or contribute to advancing health equity. Highlight how these motivations align with Optum's mission.

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How do you evaluate the effectiveness of your training sessions for clinical documentation?

Discuss evaluation methods such as feedback forms, assessing changes in documentation quality, and conducting follow-up sessions to gauge retention. Emphasize your commitment to improving educational efforts based on these evaluations.

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UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a bette...

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Full-time, hybrid
DATE POSTED
December 21, 2024

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