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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the RN CDI Specialist: Elevate Documentation & CMS-HCC in Los Angeles, CA vacancy
- ...Health in California is seeking a CDI Specialist to ensure accurate, clinically specific provider documentation across the participant... ...care teams to support compliant CMS-HCC capture and documentation improvement... ...include active, unrestricted RN or NP license in California...Cms
- 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
- ...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
$95.4k - $208.3k
...of California - Los Angeles Health is seeking a Clinical Documentation Integrity Specialist for Medicare Advantage Risk Adjustment. This role... ...experience in billing and coding, with proficiency in ICD-10 and CMS-HCC Risk Adjustment models. This full-time position requires...CmsFull time- ...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
$71.7k - $105k
...honoring what matters most.The Clinical Documentation Integrity (CDI) Specialist supports accurate, complete, and... ...and care teams to support compliant CMS-HCC capture and sustainable documentation... ...& EXPERIENCE:Active, unrestricted RN or NP license in the state of California...Cms- ...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
- 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...Cms
- ..., CA is looking for a detail-oriented HCC Coding Specialist to join our growing team. This is an exciting... ...accuracy and quality healthcare documentation. If you're passionate about medical... ...adjustment diagnoses in compliance with CMS guidelines Conduct retrospective and...CmsWork from homeFlexible hours
$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
- 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... ...all correspondence, including documentation and files, in a professional...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
Hollywood Presbyterian
Los Angeles, CA18 days ago $95.4k - $208.3k
...Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment... ...audit activities for CMS RADV as needed, including... ...of recent experience in CMS-HCC Risk Adjustment models V24 and... ...EMR systems Registered Nurse (RN) or clinical qualifications...CmsWork at office3 days per weekUCLA Health
Los Angeles, CA22 hours ago- ...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
- ...Annual Giving Programs, the Annual Giving Specialist acts as the central operations hub for... ...expense reports and other reporting or documentation needs.Administers the day‐to‐day activities... ...and other Content Management Systems (CMS) and tools.Required DocumentsResume.Cover...CmsWork experience placementWork at officeWeekend workAfternoon shift
- UCLA Health in Los Angeles is seeking a Clinical Documentation Integrity and Denial Management professional to lead daily reviews of high-acuity... ...outpatient settings. You will collaborate with Medical Coding, CDI, Case Management, and the Quality team to ensure accurate...
- Elevator / Vertical Transportation Specialist Federal & Mission-Critical Infrastructure Projects Los Angeles, CA | Full-Time | On-Site Join a High-Impact... ..., and performance tracking Prepare reports, documentation, and cost estimates Participate in design reviews,...Long term contractFull timeTemporary workFor contractors
$2,606 per week
...Registered Nurse (RN) | Case Manager Location: Burbank, CA Agency: Prime Staffing... ..., Admission Criteria, Care coordination, CMS: Centers for Medicare and Medicaid... ...Coordination, and Discharge Planning Computerized documentation, required. 2-year acute medical Care...Cms16 hoursFull timeContract workLocal areaImmediate startShift workNight shiftWeekend workPrime Staffing
Burbank, CA22 hours ago- ...can include nutrition-focused physical exam, identification and documentation of malnutrition, and care plan development for patients with... ...set forth under the Centers for Medicare and Medicaid Services (CMS) to receive Medicare/Medicaid payment. Ensures state and local...CmsLocal areaMonday to Friday
Central Neighborhood Christian Health Clinics
Santa Fe Springs, CA22 hours ago - UCLA Health seeks a Clinical Documentation Integrity and Denial Management specialist to join our team. You will review high-acuity patient records to identify payer... ...settings. Collaborating with Medical Coding, CDI, Case Management and Quality, you will gather and analyze...
- ...Medicare Billing Specialist This position collaborates with global and domestic cross-functional... ...compliance with Medicare guidelines, CMS requirements, and DMEPOS billing... ...coordination of benefits (COB) Accurately document all patient interactions, including inquiries...CmsWork at officeFlexible hours
- ...seeking a Managed Long-Term Services and Supports (MLTSS) Nurse Specialist RN II. You will apply advanced clinical judgment to coordinate... ...nursing or UM/CM experience, strong communication and documentation, and collaboration with interdisciplinary teams. #J-18808-Ljbffr...Cms
- ...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
- ...these best practices. Interfaces with Senior Program Controls Specialist and Managers to support decision making. Hands on, detailed... ..., schedules and roll up of program information. Provides documentation support for program controls processes, policies and procedures...CmsFull timeContract workWork at office
- 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
- ...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 one full...CmsShift workWeekend work
$60k - $95k
...keys to a stronger future. The eBilling Specialist supports the firm's electronically billed... ...Ability to produce high-volume, computerized document edits in a deadline-driven environment.... ...with BillBlast, eBillingHub, and Aderant/CMS. Skills And Competencies Attention to...CmsContract work$99.51k - $164.56k
..., the Revenue Integrity (RI) Specialist provides leadership to the daily... ...delivers direction to the documentation of all policies and procedures... ...requirements (UB‑04) and CMS Medicare reimbursement methodology... ...of hire. Registered Nurse - RN (CA Board of Registered...CmsRemote jobFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN CDI Specialist: Elevate Documentation & CMS-HCC. Be the first to apply!
Related searches