Medicare Advantage CDI Specialist: Risk Adjustment Expert
$95.4k - $208.3kUniversity of California - Los Angeles Health
The University of California - Los Angeles Health is seeking a Clinical Documentation Integrity Specialist for Medicare Advantage Risk Adjustment. This role involves conducting medical record audits and providing education to physicians and coders, ensuring accurate coding and documentation. Ideal candidates should possess CPC or CCS certification and five or more years of experience in billing and coding, with proficiency in ICD-10 and CMS-HCC Risk Adjustment models. This full-time position requires travel within the Los Angeles area. Salary range: $95,400 - $208,300 annually. #J-18808-Ljbffr University of California - Los Angeles Health
- UCLA Health is seeking a Clinical Documentation Integrity Specialist to manage Medicare Advantage risk adjustment coding. This role requires expertise in coding, conducting audits, and collaborating with providers. The candidate must hold appropriate certifications, have...Risk
- Direct Jobs in Los Angeles seeks a Clinical Documentation Integrity Specialist specializing in Medicare Advantage Risk Adjustment. The role involves auditing medical records for CMS compliance, providing training, and working closely with healthcare providers. Qualified...Risk
$95.4k - $120k
UCLA Outpatient Clinics in Los Angeles is looking for a Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment. You will work closely with providers to ensure documentation accuracy and participate in audits. This role requires expertise in risk...Risk$95.4k - $208.3k
Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan...Risk3 days per week- ...TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt... ...entities, including Medicare Advantage, Marketplace, and other... ...as a subject matter expert on federal risk adjustment... ...improvement (CDI) initiatives to capture... ...or Certified Coding Specialist (CCS) Certified Clinical...RiskWork at officeShift work
$95.4k - $208.3k
Job Title Work Location: Los Angeles, CA, USA Onsite or remote flexible hybrid work schedule Monday - Friday, 7:00am-4:00pm PST, may require occasional weekends or evening hours Salary Range: $95400 - 208300 Annually Employment Type 2 - Staff: Career Duration ...RiskRemote workMonday to FridayFlexible hoursAfternoon shift$45 - $72 per hour
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...financing, enterprise risk management and... ...revenue across our risk adjustment portfolio. This is a selling specialist role: you will own... ...and coding/CDI leaders, quality and... ...Subject Matter Experts to deliver tailored... ...reimbursement landscape (Medicare Advantage, ACA, Medicaid...RiskFull timeTemporary workWork experience placementRemote workFlexible hoursShift work$30k
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...Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our physician practices remotely! In this... ...data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment...RiskRemote jobFull timeWork at officeHome office- ...district credit cards, and publications. Makes corrections and adjustments necessary for accurate records and information including adding... ...work near moving mechanical parts; toxic or caustic chemicals; risk of electrical shock and vibration. The noise level in the work...RiskWork experience placementWork at office
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...Position Title Project Controls Specialist Location Los Angeles, CA Job ID JR102944 Time Type... ...by identifying emerging trends, risks, and exposure factors. Engage in Risk Assessment... ...as required for PBA (Project Budget Adjustments), change orders, and other financial adjustments...RiskFull timeContract workTemporary workCurrently hiringWork at officeLocal area- ...Senior Therapeutic Area Specialist, Neuroscience Working with Us Challenging. Meaningful.... ...market drivers and develop, execute, and adjust business plans. Demonstrates a strong... ...your state of residence; and, 3) a driving risk level deemed acceptable by the Company....RiskPrivate practiceWork at office
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Join to apply for the Sourcing Specialist, Beyond Yoga role at Beyond Yoga 1 day ago Be among... ...demand while minimizing inventory risk and raw material risks Define the vendor... ...agreements as well as end to end supply chain advantage (inventory, lead-time, service, CO2...RiskSeasonal workWork at office3 days per week$18 - $22 per hour
...organization with a social mission to offer hope, is seeking an Outreach Specialist to join our award-winning Alternative Education team and... ...and/or knowledge in alternative educational services for at-risk students and working with students with diverse needs at...RiskFull timeWork at officeLocal areaFlexible hours$71k - $93k
Orientation and Mobility Specialist 25/26 SY Washington Elementary School District 6 Special... ...vision, peripheral vision, and ability to adjust focus. Working Conditions The working environment... ...parts; toxic or caustic chemicals; risk of electrical shock and vibration. The...RiskFull timeTemporary workWork experience placementImmediate start- ...others. Job Summary The Hazard Mitigation Specialist provides client-facing technical... ...reduce flood, wind, seismic, or wildfire risks. Provide technical guidance on the FEMA... ...employees are a key source of competitive advantage for Safework in the marketplace. Comprehensive...RiskLocal area
- A global law firm is seeking a Conflicts Analyst II to assist with compliance and risk management related to potential new business. This position can be based in Los Angeles or remotely for those in the US willing to work West Coast hours. Responsibilities include reviewing...RiskRemote job
$60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles,... ...complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California... ...of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National...RiskFull timeLocal areaRemote workShift workWeekend work- ...Everyone Achieves More. Job Title CMS Specialist Department Cash Management Systems (CMS... ...Zelle, and other services. Understand the risk associated with all the CMS products and... ...Flexible Spending Account (FSA) : Tax‑advantaged financial accounts are offered for employees...RiskFull timeImmediate startRemote workFlexible hours
$85k - $200k
...gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: Certified in Risk... ...claims processing procedures, state and federal regulations, and Medicare Part D requirements. Excellent written and verbal communication...RiskRemote work$80k - $95k
...closing, escalating complex cases when necessary. Compliance and Risk Management Conduct thorough reviews of loan files to ensure... ...wrist motions, grasping, speaking, listening, close vision, and adjusting focus. Occasional standing, lifting and carrying up to 20 lbs,...RiskFull timeWork at officeLocal area$88.17k - $132.26k
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