Hybrid RN CDI Specialist - CMS-HCC & Documentation
$71.7k - $105kmyPlace Care Partners, P.C.
myPlace Health in Compton, CA is seeking a qualified CDI Specialist to ensure accurate provider documentation across our participant population. This clinical role partners with physicians, nurse practitioners, and care teams to support compliant CMS-HCC capture within the PACE model. Hybrid work arrangement with a base salary range of $71,700 to $105,000 plus bonus and benefits. Candidates must be licensed RN or NP in California and bring 3+ years of outpatient clinical experience and CDI #J-18808-Ljbffr myPlace Care Partners, P.C.
- myPlace Health is seeking a CDI Specialist to ensure accurate, clinically specific provider documentation for the elderly population served... ...and care teams to improve CMS-HCC capture and sustain documentation... ...The role requires an active CA RN or NP license, 3+ years in...Cms
$71.7k - $105k
...matters most. The Clinical Documentation Integrity (CDI) Specialist supports accurate,... ...teams to support compliant CMS-HCC capture and sustainable documentation... ...improvement. ** Hybrid, Primary Location: Compton... ...: Active, unrestricted RN or NP license in the state...Cms- ...Description UM Audit & Compliance Nurse (LVN/RN) – MSO/IPA - HYBRID Location: Pasadena, California... ..., authorization records, clinical documentation, policies, procedures, reports, logs,... ...regulatory audit requirements, including CMS, DHCS, DMHC, Medi-Cal, Medicare, and...CmsPart time
- NOR Healthcare Systems is seeking a CDI Specialist Level II to conduct concurrent and retrospective reviews of inpatient medical records to ensure documentation reflects medical necessity, quality of care, and compliant reimbursement. The role collaborates with medical...Suggested
$135k - $145k
...About This Role As our Enrollment RN Manager, you’ll be the... ...assessments, keep enrollment documentation audit-ready, and serve as a go... ...regulatory requirements. In this hybrid role, you’ll split your time between... .... Lead preparation for DHCS, CMS, and other regulatory audits,...CmsTemporary workPart timeWork at officeLocal areaRemote workMonday to FridayFlexible hours- LA Care Health Plan is seeking an RN II for Managed Long-Term Services and Supports in Los Angeles. The nurse specialist applies advanced clinical judgment to coordinate physical and behavioral healthcare for LA Care members. The role emphasizes assessments, member-centered...Cms
- ...life center). The Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring... ...condition category (HCC) capture where applicable... ...audits Ensure adherence to CMS, payer, and organizational... ...licensure or certification (RN, MD, DO, PA, NP, ECFMG, or...CmsFull timeWork experience placementLocal areaShift work
- ...firm in Los Angeles is seeking a Project Support II to focus on document control and support various engineering initiatives. The ideal... ...communication skills, and proficiency in Microsoft tools. This hybrid role allows for 3-4 days of office presence per week, ensuring...Work at office
- Overview Patient Safety Specialist - Medical Affairs at... ...Hospital. This role follows a hybrid work schedule;... ...continuously evaluate CMS metrics (e.g., Core Measures... ...exhibits into a complete document suitable for... ...Certifications Active California RN License. Basic Life...CmsFull timeRemote work
- ...outcomes often from home or with flexible hybrid schedules. key responsibilities... ...care teams to resolve therapy issues and document interventions. educate patients and caregivers... ...use. maintain compliance with cms mtm program requirements and quality metrics...CmsRemote jobFlexible hours
- ...Case Manager - RN Full Time Day Shift Job Category: Registered Nurse Requisition... ...clinical resource utilization and documentation affecting reimbursement, acting as a resource... ...written in the EHR. Collaborates with CDI in determining the GMLOS to drive length...CmsFull timeShift workDay shift
- ...assessments and coordinating care across behavioral health services in a hybrid work model. The role involves solution-focused consultations, crisis support, case management, and accurate documentation in member records. Office days may be required, with remote...Work at officeRemote work
- ...Analyst 2 to review charges from origin, assign ICD-10-CM, CPT/HCPCS codes, and ensure accurate charge capture and medical necessity documentation. You will work with physicians, clinical departments, and the revenue cycle team to promote coding accuracy, data integrity, and...Cms
- ...Revenue Integrity Specialist II | Cedars‑Sinai Apply for the Revenue Integrity Specialist... ..., modifiers). Maintain familiarity with CMS coding regulations, Medicare rules, same... ...Departments. Handle all correspondence, including documentation and files, in a professional and...Cms
$125k - $145k
Specialist, B2B eCommerce MarketingLocation: Los Angeles, HybridCompensation: $125,000 - $1... ...ensuring clinical technical sheets, regulatory documentation, and instructional product videos are... ...outcomes.• Stay current on Shopify, CMS, ecommerce, analytics, automation, AI-enabled...CmsFor contractorsFreelancePrivate practice- ...Clinical Documentation Specialist The Clinical Documentation Specialist works independently... ...requirements set forth by CMS and other regulatory entities... ...of the patient. Utilizes HCC analytics information to... ...license preferred (PA, NP, LVN or RN) • Registered Health...CmsWork at office
$95k - $107k
...these best practices. Interfaces with Senior Program Controls Specialist and Managers to support decision making. Hands on,... ...estimates, schedules and roll up of program information. Provides documentation support for program controls processes, policies and...CmsFull timeContract workWork at office- ...accordance with established timelines. The Specialist: Performs accurate and timely coding... ...familiarity with such issues as CMS coding regulations, Medicare rules, visits... ...correspondence including (but limited to) documentation and files in a professional and confidential...Cms
- ...RN Care CoordinatorAs our RN Care Coordinator, you will be a central figure in patient... ...care across every touchpoint.Completes and documents a discharge planning assessment on those patients... ..., self-directed environment.Knowledge of CMS standards and requirements.Proficient in...CmsRelocation package
- Alta Hospital seeks an experienced RN Case Manager to perform clinical assessments, utilization... ...include evaluating medical necessity, documenting care plans, and leading discharge activities while ensuring compliance with CMS and Joint Commission standards. #J-18808-...Cms
$40 - $50 per hour
...We are seeking a Docket Specialist to join a dynamic law firm. The Docket Specialist plays a key role in supporting the firm's litigation practice by managing court deadlines, maintaining accurate calendars, and ensuring compliance with state, federal, and agency rules...CmsFull timeWork at officeLocal areaRemote work- ...RN - Case ManagerUtilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination... ...relative to admission in accordance with Centura policy and documents assessment using case management software and/or other clinical...Cms
$2,735 per week
...: Travel Profession: Registered Nurse (RN) Specialty: Case Management Weekly Pay... ..., Milliman), DRG/ICD-10 concepts, CMS, The Joint Commission/core measures, HIPAA... ...identifying and addressing barriers to care. Document patient interactions and care plans in compliance...CmsWeekly payTemporary workShift workWeekend work- ...patients requiring additional review or optimization.Conducts and documents PAT interviews in person or by phone.Documents findings in... ...day surgery readinessRegulatory ComplianceAdheres to all AAAHC, CMS, and CDPH regulations related to preoperative patient assessment...Cms
$34 - $39 per hour
...HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range $3... ...limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of... ...knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data...CmsHourly payFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$31 per hour
...alternative application process. Revenue Cycle Specialist Full Time Los Angeles, CA, US 2 days... ...medical necessity, and other supporting documentation. Accounts Receivable, Denials & Appeals... ...& Process Improvement Follow HIPAA, CMS, Medi-Cal, California payer requirements...CmsHourly payFull timeWork at office- ...Emergency Department Behavioral Health Specialist, you will be a part of our highly talented... ...achieved through best-in-class 5-star CMS rating to provide patients with high quality... ...such as observational checks. Documents observations, interventions, and group activities...CmsPrice workFull timeShift workRotating shiftDay shift
- ...leadership on large-scale projects. The ideal candidate has CM experience on major public works, strong communication, and the ability to coordinate multidisciplinary teams across field and office locations. Hybrid/onsite arrangements may apply. #J-18808-Ljbffr Pacific ProsCmsWork at office
$88.85k
...Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical... ...were medically necessary, appropriately documented, accurately billed, and compliant with... ...regulatory and accreditation standards (e.g., CMS, Medi-Cal, NCQA). Understanding of the...CmsFull time$50 per hour
...AltaMed Registered Nurse (RN)If you are as passionate about helping those in need as... ...requirements in the delegation of tasks and in documentation. Assist in the development and... ...Practice Act, Title 22, Joint Commission (JC), CMS 42 CFR Part 460 regulatory requirements as...CmsFlexible hours
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