Clinical Documentation Integrity Specialist - Registered Nurse

Job Description

Job Description

About the Role

Join myPlace Health as a Clinical Documentation Integrity Specialist - Registered Nurse in Los Angeles, CA. myPlace Health is dedicated to enabling older adults to live the independent lives they deserve, providing value-based, comprehensive care and coverage so they can thrive in their homes and communities. This role is crucial in ensuring accurate and complete clinical documentation that reflects the severity of illness, complexity of care, and resource utilization for our participants.

Key Responsibilities

• Conduct comprehensive reviews of clinical documentation to identify opportunities for improvement and ensure compliance with coding guidelines.
• Collaborate with physicians and interdisciplinary teams to clarify documentation and support accurate diagnosis coding (HCC coding).
• Educate healthcare providers on clinical documentation best practices, risk adjustment, and the impact of documentation on quality measures and reimbursement.
• Analyze documentation for consistency, completeness, and accuracy, making recommendations for improvement.
• Participate in ongoing training and professional development related to Clinical Documentation Integrity and Risk Adjustment.

Required Qualifications & Experience Required:

• Active Registered Nurse (RN) license.
• 3+ years of experience in Clinical Documentation Integrity, Risk Adjustment, HCC Coding, or Documentation Improvement.

Preferred:

• NP license.

Benefits

• Employee recognition program
• Wellness Program
• Health insurance
• Dental insurance
• Vision insurance
• 401(k)
• Paid holidays
• Paid time off (PTO)
• 401(k) match