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 perks, 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 Documentation Integrity Specialist is responsible for the day-to-day implementation of processes related to the review of inpatient medical records. This role is centered on assessing accuracy, specificity, and completeness of provider clinical documentation. The primary objective is to ensure that documentation explicitly identifies all clinical findings and conditions present at the time of service to accurately reflect the severity of the patient's condition and the acuity of care provided.





Please note that according to the sources, this position does not have patient care duties, direct patient interactions, or any role related to patient care.

Primary Responsibilities

Clinical Documentation Review
Perform expert-level concurrent reviews of inpatient medical records within 24-48 hours of admission
Identify documentation gaps, inconsistencies, or insufficient specificity impacting diagnosis capture, Principal diagnosis, SOI/ROM, DRG assignment, and quality metrics
Clinical Clarification & Query Management
Initiate and manage compliant queries exclusively through electronic means, to obtain necessary clinical clarification
Ensure queries are clinically supported, non-leading, and aligned with AHIMA and organizational query standards
Conduct daily follow-up on outstanding queries to support timely documentation resolution
Documentation & System Utilization
Accurately documen

📌 Clinical Documentation Integrity Specialist (Chennai)
🏢 Optum India
📍 Chennai