Medicare Risk Adjustment CDI Specialist - Field Audits (LA)
$95.4k - $120kUCLA Outpatient Clinics
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 adjustment coding and auditing of medical records. The salary range for this position is between $95,400 and $120,000 annually, providing a rewarding career in the healthcare sector. #J-18808-Ljbffr UCLA Outpatient Clinics
- 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
- 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
$139.23k - $168.71k
## Senior Therapeutic Area Specialist - Cobenfy -West LA, CALos Angeles - CAFind out... ...BMS values.The TAS role is field based. A TAS is anticipated... ...and develop, execute, and adjust business plans.* Demonstrates... ...; and, 3) a driving risk level deemed acceptable by...RiskFieldHourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceLive inWork at officeLocal areaRemote workFlexible hoursShift work$95.4k - $208.3k
...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...RiskFull time- ...Workplace Health & Safety Specialist (WHSS), you'll be at the... ...strategies. Lead daily safety audits, incident investigations, and risk assessments while... ...Health & Safety (EHS) related field OR; A Bachelor’s degree... ...workplace accommodation or adjustment during the application...RiskFieldLocal areaFlexible hoursShift workNight shiftWeekend work
$95.4k - $208.3k
...Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment... ...You will: Conduct medical record audits for physicians (MD, DO, or NP) to... ...'s degree (healthcare or relevant field) or equivalent experience/training...RiskFieldWork at office3 days per week$75k - $85k
Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers, and support CMS risk adjustment initiatives. The role requires travel to provider sites (about 75%) and reports to the Supervisor...RiskField- ...outside of NCAL. Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight,... ...Health, Business or related field and Minimum six (6) years experience... ...Coders OR Certified Coding Specialist from American Health Information...RiskFieldWork experience placement
$85.8k - $98k
...EHS, Supply Chain, and Digital risks and opportunities to achieve... ...Health and Safety (EHS) Consulting Specialist to join our dynamic EHS team... ...Hygiene, or a related field 1–3 years of EHS experience supporting... ...conducting inspections, audits, risk assessments, or exposure...RiskFieldTemporary workLive in$80k - $100k
KEB Hana LA Financial Corp. is a wholly owned subsidiary of Hana Bank in Seoul Korea... ..., financial services, compliance, audit, or related fields preferred Experience with BSA/AML, OFAC... ...controls Identify potential compliance risks and recommend appropriate corrective actions...RiskField- ...experienced Project Controls Specialist III (Cost Analyst) to support... ...Identify financial risks and exposures Forecasting... ...stakeholders Financial and auditing teams Assist with staffing... ...Management Business Related field ~ Additional qualifying experience...RiskFieldContract workFor contractors
- 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
$81.12k - $133.01k
...proactively identifying risks, implementing mitigation... ...performance, and risks; adjust plans and mitigation strategies... ...documentation for audits or future reference.... ...Bachelor’s Degree in related field. Req 3‑5 years... ...Fire Life Safety Training (LA City) If no card upon hire...RiskFieldFull timeContract workWork experience placementInternshipWork at officeLocal areaShift work- ...spanning the AP, EMA, LA and NA, ZONBERATION has... ...detail-oriented Senior EHS Specialist to join our client’s... ...compliance, conducting risk assessments, and supporting... ...to prevent recurrence. Auditing & Inspection: Plan and... ...Health, or a related field. Advanced degree or...RiskFieldFull timeLocal area
$150k - $180k
...financial reporting, budgeting, audit, accounts payable... ..., and financial risk management. Lead financial... ..., Accounting or related field; MBA preferred. Must... ...efficiently manage change and adjust to new environments and... ..., please refer to LA County Fair Chance Hiring...RiskFieldFlexible hours$70.4k - $124.6k
...minimal direction of the Director, Risk & Loss Advisors, and taking... ...and deadlines simultaneously, adjusting priorities often, and managing... ..., progressive safety/health field, and regulatory requirement compliance... ...safety inspections, and audits We embrace a culture that...RiskFieldWork at officeLong distanceNight shiftAfternoon shift$27 - $32 per hour
...HEDIS Abstractor (LA Region) The HEDIS Abstractor supports... ...teams, providers, and external audit vendors to improve measure... ...degree in healthcare-related field Have at least 2 years of HEDIS... ...Knowledge of CMS Stars, risk adjustment, and population health initiatives...RiskFieldHourly payRemote work$145.5k - $242.5k
...for people living with, and at risk of, HIV. ViiV is highly... ..., Sales, Clinical Educators, Field Reimbursement Managers and Medical... ...us at - usrecruitment.adjustments@gsk.comViiV is an Equal Opportunity... ...please visit the Centers for Medicare and Medicaid Services (CMS) website...RiskFieldFull timeLocal areaNight shift- ...reliable access to the Metro LA community for field‑based duties, member visits... ...chronically ill and high‑risk members by coordinating care... ...across clinics, hospitals, specialists, and community agencies... ...evaluate effectiveness, and adjust plans as needed using quality...RiskFieldLive inWork at officeLocal areaImmediate start
- ...degree in Orientation and Mobility or related field; Valid Arizona Department of... ...vision, peripheral vision, and ability to adjust focus. Working Conditions: The working... ...mechanical parts; toxic or caustic chemicals; risk of electrical shock and vibration. The noise...RiskFieldTemporary workWork experience placement
$146.18k - $198.79k
Associate Director, Internal Audit Locations: Los Angeles,... ...to the effectiveness of risk management, internal... ...developments or findings by adjusting or extending testing.... ..., or a related field in lieu of certification... ...local laws, including the LA City Fair Chance Ordinance...RiskFieldFull timeWork experience placementWork at officeLocal areaShift workDay shift- ...Executive Projects & Communications Specialist serves in advanced... ...against milestones, escalate risks or barriers proactively, and support... ...EducationBachelors degree in a relevant field (e.g., public policy,... ...manage competing priorities, adjust to changing demands, and meet...RiskFieldWork at office
$199.06k - $322.48k
...Chief Risk Officer Los Angeles, California (100% on-site) Overview... ...for contributing to audit functions, business continuity,... ...degree in healthcare or related field. CPHRM. Pay Scale Information... ...and local laws, including the LA City Fair Chance Ordinance and...RiskFieldFull timeWork experience placementWork at officeLocal area- ...SummaryThe Managing Director, Risk Advisory Services will work... ...clients in the areas of Internal Auditing and internal control,... ...engagements to include planning, field work, engagement wrap up and... ...collections and ensures timely adjustments to engagement realization, as...RiskFieldContract workWork at office
$100k - $125k
...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... ...Insurance and Risk Management, or a related field (equivalent experience may be considered)...RiskField16 hoursContract workWork at officeLocal area$18 - $22 per hour
...mission to offer hope, is seeking an Outreach Specialist to join our award-winning Alternative... ...Associates degree or higher in a related field of study. Bachelor's degree or higher... ...alternative educational services for at-risk students and working with students with...RiskFieldFull timeWork at officeLocal areaFlexible hours$135k - $187.2k
...apply for the Nurse Practitioner | LA Street Medicine role at Akido... ...W15), Akido is expanding its risk‑bearing care models and scaling... ...preventative care directly in the field. Conduct patient assessment,... ...communication skills to understand and adjust effectively to patients' needs...RiskFieldFull timeRelocationRelocation package$32.9 per hour
...The Position The Mental Health Specialist (MHS) is responsible for... ...health, substance use, and safety/risk assessments on identified participants... ...for participants engaged in LA Family Housing programs.... ...participants, serving as a preceptor or field instructor to MSW or MFT...RiskFieldWork experience placementInterim roleFlexible hoursWeekend work- 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
$88.17k - $132.26k
...foster involvement and reduce at risk behaviors. Assist in the... ...inspections, observations and audits to reduce incidents and ensure... ...Occupational Health or related field, preferred. Work Experience... ...close vision, and ability to adjust focus. Reasonable accommodations...RiskFieldContract workFor contractorsWork experience placementLocal areaImmediate startFlexible hours
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