RN CDI Specialist: Elevate Documentation & CMS-HCC
myPlace Health
myPlace Health is seeking a CDI Specialist to support accurate provider documentation across our PACE participant population in California. You will review medical records, identify documentation opportunities, and collaborate with clinicians to ensure CMS-HCC capture reflects patient complexity and care needs. The role involves chart reviews, drafting queries, and partnering with physicians and care teams to improve documentation quality, with a focus on risk adjustment and outpatient settings. #J-18808-Ljbffr myPlace Health
- myPlace Health is seeking a CDI Specialist to ensure accurate, clinically specific provider documentation across the participant population. This clinically credentialed... ...practitioners, and care teams to support compliant CMS‑HCC capture and sustainable documentation...Cms
- myPlace Health is seeking a Clinical Documentation Integrity Specialist (RN) to ensure accurate, clinically... ...physicians and care teams to improve CMS-HCC capture and documentation quality. The... ...outpatient settings, with preferred CDI certifications and experience with CDI...Cms
$71.7k - $105k
...matters most. The Clinical Documentation Integrity (CDI) Specialist supports accurate,... ...teams to support compliant CMS-HCC capture and sustainable documentation... ...quality reviews and elevate documentation deficiencies... ...Experience Active, unrestricted RN or NP license in the state...Cms- ...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 ensure...CmsRemote job
- ...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 programs. The role...CmsRemote jobWork from homeFlexible hours
- ...Plan in Los Angeles, CA seeks a Utilization Management Nurse Specialist RN II to facilitate and approve referrals that meet criteria, coordinate... ...and Physician Advisor, handle complex provider calls, document in the system, and ensure timely communications to members...Cms
- Optum is seeking a Clinical Documentation Integrity Specialist to lead inpatient record reviews, identify documentation gaps, and collaborate with physicians... ...Angeles emphasizes leadership, education, and the use of CDI best practices along with Optum 3D technology. The...
$2,454 per week
Job Overview Travel nurse RN Clinical Document Improvement Specialist located in Tarzana, California. Specialty: Clinical Document Improvement Specialist... ...intake, investigation, documentation, and response to CMS‑defined grievances Provide clinical oversight for event...CmsShift work- 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
- ...Clinical Documentation Improvement Specialist CHA Hollywood Presbyterian Medical... ...Improvement (CDI) Specialist is responsible... ...condition category (HCC) capture where applicable... ...Ensure adherence to CMS, payer, and... ...licensure or certification (RN, MD, DO, PA, NP, ECFMG...CmsFull timeLocal areaShift work
- ...Revenue Integrity Specialist II | Cedars‑Sinai Apply for the Revenue... ...). Maintain familiarity with CMS coding regulations, Medicare... ...coding rules and regulations. Elevate issues, as appropriate, to the... ...all correspondence, including documentation and files, in a professional...Cms
- ...experienced Home Health Service Director RN to lead and elevate our home health operations in Glendale... ...staffing, scheduling, and clinical documentation to ensure regulatory compliance Requirements... .../Medicaid home health regulations and CMS guidelines Experience with OASIS...CmsWork from home
- ...Consultant - Healthcare Clinical Documentation Specialist Our Deloitte Regulatory,... ...education of physicians, CDI team, health information management... ...Current Registered Nurse (RN) license required... ...experience; APR-DRG, MS-DRG and HCC assignment Other revenue cycle...CmsWork experience placementLocal area
$105 - $115 per hour
...Registered Nurse (RN) Clinical Supervisor Home Health Make... ...compassionate RN leader ready to elevate care delivery and support a... ...Review and audit clinical documentation for accuracy, compliance, and... ...health regulations (Title 22, CMS, etc.) ~ Excellent communication...Cms- ...Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and commercial lines. You will... ...fieldwork with hybrid support, maintaining up-to-date knowledge of CMS guidelines and payer requirements while meeting productivity...Cms
- Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey... ..., CA. The role requires converting provider documentation into compliant HCC coding and educating providers on CMS requirements while traveling to provider sites...CmsRemote work
- NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review...Cms
- ...manages clinical resource utilization and documentation affecting reimbursement, acting as a... ...written in the EHR. Collaborates with CDI in determining the GMLOS to drive length... ...minimum of two (2) years' experience as a RN, or two (2) years' experience as a Case Manager...CmsFull timeShift workDay shift
- ...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
- ...to ensure a smooth registration experience. You will enter data into the ADT system, identify patients to avoid duplicate records, and review accounts for accuracy and required documentation, while meeting CMS billing requirements. #J-18808-Ljbffr CommonSpirit HealthCms
$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- ...Revenue Cycle Specialist We are looking for an experienced Revenue Cycle Specialist to... ...medical necessity, and other supporting documentation. Accounts Receivable, Denials & Appeals... ...Improvement Follow HIPAA, CMS, Medi-Cal, California payer requirements...CmsWork at office
- ...transitions. Conduct utilization reviews to ensure appropriateness of care based on CMS/DRG guidelines. Ensure HIPAA compliance in all patient interactions and documentation. Compliance / Notes: Orientation: 40 hours Weekend requirement: Typically...CmsShift workWeekend work
$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- 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
$34 - $39 per hour
....00 - $39.00 Hourly Position Summary The HCC Coder will be responsible for evaluating... ...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$74k - $124k
...Job Family: CDI Specialist Travel Required: None Clearance Required: None... ...potential missed opportunities for documentation clarification. Collaborates... ...and is reflective of current CMS or other regulatory standards... ...degree One of the following: RN, MD, or MD Equivalent (MBBS)...CmsTemporary workImmediate startFlexible hours- ...in Los Angeles is seeking a Psychiatric Admissions RN for a part-time position at Providence Little Company... ...admissions, monitoring unit services per CMS guidelines, and ensuring accurate IRF-PAI documentation. Candidates must have a degree in nursing, a California...CmsPart timeNight shift
- Overview Patient Safety Specialist - Medical Affairs at Cedars-Sinai, Marina... ...and continuously evaluate CMS metrics (e.g., Core Measures,... ...and exhibits into a complete document suitable for publication and distribution... ...Active California RN License. Basic Life Support (BLS...CmsFull timeRemote work
- APPEALS SPECIALIST Do you like challenging payers? That feeling of satisfaction when your appeal... ...grievances through the DMHC, DOI, DOL, CMS and Medicaid systems to resolve unfair... ...statutes, contracts,and other relevant documents. Knowledge of medical necessity, time...CmsFull timeContract work
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