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
- MedPOINT Management in Sherman Oaks, CA seeks a detail-oriented HCC Coding Specialist to ensure accurate risk adjustment coding and compliant documentation. You’ll review medical records, collaborate with clinicians, and stay current with CMS guidelines to support payer...RiskRemote jobWork from homeFlexible hours
- Astrana Health in Monterey Park, CA is seeking a Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and commercial lines. You will educate providers and work with IPAs to improve coding quality. You will travel...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- myPlace Health is seeking a CDI Specialist to support accurate provider documentation across our PACE participant population in California... ...care teams to improve documentation quality, with a focus on risk adjustment and outpatient settings. #J-18808-Ljbffr myPlace HealthRisk
$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...RiskWork at office3 days per week- MedPOINT Management in Sherman Oaks, CA is seeking a detail‑oriented HCC Coding Specialist to join our expanding team. You will play a pivotal role in risk adjustment accuracy and high‑quality healthcare documentation, collaborating with physicians and clinical staff to...RiskRemote job
- ...role supports the build and maintenance of tools used to file Medicare Advantage bids. The role additionally supports tools that help drive... ...for researching and determining the likelihood of financial risk to the organization, aligning actuarial documentation with financial...RiskWork experience placement
$100k - $130k
...enabling human life on Mars.SR. SOURCING SPECIALIST, MECHANICAL (STARSHIP)The SpaceX... ...delivers a powerful competitive advantage. Core functions include... ...capacity, and manage supply signals to adjust incoming materialTrack high risk components and supplier delivery performanceCommunicate...RiskPermanent employmentContract workTemporary work$70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center... ...diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk...RiskFull timeWork at officeRemote workHome office- ...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
$75k - $85k
Risk Adjustment Coding Specialist II Department: Strategy and Operations Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey... ...data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment...RiskFull timeWork at officeWork from homeHome office$45 - $72 per hour
...Purpose The CNC Machining Specialist is a hands-on technical expert responsible for... ...~ Proactively identify risks in machining operations and... ...professional development. Take advantage of reimbursement opportunities... ...Poster In order to adjust to changes in our business...RiskTemporary workShift workRotating shiftDay shift$139.23k - $168.71k
## Senior Therapeutic Area Specialist - Cobenfy -West LA, CALos Angeles... ...and develop, execute, and adjust business plans.* Demonstrates... ...residence; and, 3) a driving risk level deemed acceptable by the... ...calendar year are eligible to take advantage of the Global Shutdown.***\*...RiskHourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceLive inWork at officeLocal areaRemote workFlexible hoursShift work$19.25 per hour
...a career. The role of a Human Resources Expert can provide you with the skills and experience... ...a positive and respectful attitude* Adjust to business and guest needs to deliver an... ...company compliance policies that mitigate risk to the team member experience.* Demonstrate...RiskHourly payTemporary workWork at officeLocal areaFlexible hoursShift workNight shiftDay shift$401 per month
...Management Systems (CMS)We are looking for a CMS Specialist to join our CMS team at Open Bank! The... ..., and other services.Understand the risk associated with all the CMS products and... ....Flexible Spending Account (FSA): Tax-advantaged financial accounts are offered for...RiskFull timeImmediate startRemote workFlexible hours$85k - $100k
...ultimate goal of enabling human life on Mars.SR. SOURCING SPECIALIST, MECHANICAL (STARSHIELD)Starshield leverages SpaceX's... ..., evaluate capacity, and manage supply signals to adjust incoming materialTrack high risk components and supplier delivery performanceCommunicate...RiskPermanent employmentContract workTemporary workRemote workWeekend work$150k - $220k
...About the Role As the first export‑control specialist at the company, you will collaborate... ...facilitate business growth while minimizing risk in a pragmatic, adaptable fashion.... ...salary range is an estimate and may be adjusted based on market conditions, business needs...RiskFull timeRemote workWeekend work- ...dedicated and detail-oriented Senior EHS Specialist to join our client’s dynamic tech... ...strategies, maintaining compliance, conducting risk assessments, and supporting the... ...international standards and best practices is an advantage. Communication: Excellent verbal and...RiskFull timeLocal area
$100k - $125k
...operator, lender, and developer. Our team of experts works together to identify and create... ...Position Purpose An integral member of the Risk Management team supporting the Operations... .... Provide guidance and support to adjusters and defense attorneys in claim resolution...Risk16 hoursContract workWork at officeLocal area- ...Description: The Release of Information (ROI) Specialist I within the VitalChart department of... ...(PHI) checks for accurate invoicing and adjusts invoice as needed releases request to... ...computer/office equipment, or security risks in work environment Must adhere to all VRC...RiskWork at officeImmediate startRemote work
- Astrana Health is seeking a Risk Adjustment Coding Specialist to support physician practices remotely from CST/EST time zones. You will review records for HCCs, educate providers, and track KPIs like HCC recapture and AWVs, contributing to program success. Requirements...RiskRemote jobFull time
$160k - $175k
...System Safety Engineer, Subject Matter Expert The System Safety Engineer, Subject Matter... ...a safety case for re-design/risk acceptance. Must have requirements management... ...able to work outside normal schedule and adjust schedule to meet peak periods and surge requirements...RiskFull timeWork experience placementWork at officeFlexible hours$70.4k - $124.6k
...career that matters. Under minimal direction of the Director, Risk & Loss Advisors, and taking into consideration the client’s readiness... ...pace, managing multiple tasks and deadlines simultaneously, adjusting priorities often, and managing frequent interruptions. This...RiskWork at officeLong distanceNight shiftAfternoon shift- ...operate. As a Workplace Health & Safety Specialist (WHSS), you'll be at the forefront of transforming... ...audits, incident investigations, and risk assessments while implementing... ...disability and need a workplace accommodation or adjustment during the application and hiring...RiskLocal areaFlexible hoursShift workNight shiftWeekend work
$60.78k
...Summary The Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve... ...in compliance with Centers for Medicare and Medicaid Services (CMS), California... ...of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National...RiskLocal areaRemote workShift workWeekend work- Astrana Health is seeking a Risk Adjustment Coding Specialist II to support remote chart reviews, identify coding gaps, and deliver provider education. This role emphasizes interpreting HCC data, monitoring KPIs, and providing insights to improve accuracy across payer requirements...RiskRemote jobWork from homeHome office
$261k - $290k
...calls for a single, dedicated owner to realize its full potential.We are creating a dedicated Director role as a GitHub Subject Matter Expert (SME) — the accountable owner who turns that momentum into results. GitHub is the tip of the spear for our Zero Legacy and Azure...Temporary workLocal area
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