Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)
$95.4k - $208.3kUniversity of California
Job Title
Work Location: Los Angeles, CA, USA
Onsite or Remote Flexible Hybrid Work Schedule Monday -Friday, 7:00am-4:00pm PST, may require occasional weekends or evening hours
Salary Range: $95400 - 208300 Annually Employment Type 2 - Staff: Career Duration Indefinite
Primary Duties and Responsibilities
Press space or enter keys to toggle section visibility
Job Qualifications
Press space or enter keys to toggle section visibility
University of California$95.4k - $208.3k
...Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health...RiskWork at office3 days per week- ...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
$95.4k - $208.3k
The 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...RiskFull time- ...This position is a hybrid role that will be expected... ...of the clinician's documentation, coding requirements... ...and completeness of clinical documentation of the... ...Clinical Documentation Specialist (CCDS) or Certified Documentation... ...documentation integrity specialist (CDIS)...SuggestedWork experience placementWork at office2 days per week3 days per week
$95.4k - $120k
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...Risk- ...Clinical Documentation Specialist (CDS) II The Clinical Documentation Specialist (CDS) II is a more experienced... ...measures, severity of illness (SOI)/risk of mortality (ROM) assessments,... ...analysis clinical documentation integrity (CDI) and Coding assigned codes....RiskSeasonal workShift work
$33 - $36 per hour
...looking for experienced HCC Risk Adjustment Auditors/Coders, Sr. to... ...auditing plan for outpatient clinical data. This position works to... ...improve the quality of coding documentation and data in the medical... ...Responsibilities Works as an integral member of the Finance...RiskHourly payCasual workWork at officeRelocation packageFlexible hours$58.5 - $96.53 per hour
The Clinical Documentation Specialist (CDS) provides clinically based concurrent and retrospective... ...severity of illness and risk of mortality. Improves the... ...required fields for data integrity and professional... ...Qualifications Working knowledge of Medicare reimbursement system and...RiskHourly payFull timeRemote work$58.5 - $96.53 per hour
...Clinical Documentation Specialist The Clinical Documentation Specialist (CDS) provides... ...severity of illness and risk of mortality. Improves the... ...required fields for data integrity and professional communication... ...Pref Working knowledge of Medicare reimbursement system and...RiskHourly payFull timeWork experience placementLocal areaRemote work- 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
$22 - $26 per hour
...Innovative • Operate with Integrity & Deliver Excellence •... ...correctly reported based on documentation. Follow the coding... ...cases) strongly preferred Risk adjustment experience preferred... ...Our organization follows a hybrid work structure where the expectation...RiskFull timeWork at office- ...Partners is seeking a Quality Manager to lead and execute end-to-end Quality strategy, ensuring product integrity, compliance, and supplier performance. This hybrid role requires 6+ years of experience in the beauty, cosmetics, or personal care industries. Candidates should...Risk
$123k - $145k
...Physician Assistant - Hybrid (Harris County,... ...: Quality - Risk Adjustment Ops... ...Department, the Clinical Operations team... ...Operate with Integrity & Excellence... ...covered markets Document chief complaint,... ...Experience with Medicare Advantage populations, Annual...RiskFull timeLocal area10 hours per weekShift workDay shift$33 - $36 per hour
...RadNet, Inc. is seeking experienced HCC Risk Adjustment Auditors/Coders in Los Angeles. Responsibilities include maintaining and monitoring quality assurance auditing plans and improving coding documentation accuracy. The role requires collaboration with healthcare providers...RiskHourly pay- ...Health plan managing Medicaid, Medicare Advantage, ACA, and commercial... ...forecasting, and insurance risk management. The successful candidate... ...for ensuring the financial integrity of the health plan,... ...includes value-based care, risk adjustment, and population health analytics...Risk
- ...Information Security Analyst for a 12+ month hybrid contract. In this hands-on role, you will... ...services and manage cybersecurity risk. You are expected to support vendor management programs and implement security integrations alongside various business units. The ideal...RiskContract work
$99k - $225k
...Systems Integration Engineer, Lead The Opportunity : Are you looking for an opportunity... ...PCA ~2+ years of experience performing risk management on space, ground, sof t war e,... ...at a Booz Allen or customer facility. Hybrid : If this position is listed as hybrid,...RiskFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote work$161.6k - $297.9k
## Sr. Program Manager (Hybrid)Applylocations: Pasadena, Californiatime type: Full timeposted... ..., development, and subcontractor integration.* Develop and maintain strong customer relationships... ...engagement and relationship management* Risk management and problem resolution*...RiskContract workTemporary workFor subcontractorLocal areaRemote workRelocation packageFlexible hours$84.5k - $115.7k
...Health | Full‑time | Hybrid Remote, Los... ...including Medi‑Cal and Medicare clients. What You’... ..., whole‑person clinical care across a diverse... ...‑quality clinical documentation completed the same... ...on complex cases, risk management, and... ...documentation as a clinical integrity activity. You...RiskFull timeWork at officeRemote work1 day per week$300k - $420k
...Audit to lead enterprise-wide audit, risk, and control strategy within a highly regulated Medicare Advantage environment. *Remote or Hybrid Available* *$300-$420K Total Comp (base... ..., including RADV and encounter data integrity Operational and IT audit leadership...RiskRemote work- ...Risk Management Program Administrator Come join our team!... ...objectives. Maintains data system integrity and ensures quality assurance... ...the program's communication documents including reports, policies... ...and resolution of adjustments. Maintains policy records...RiskLocal area
$90k - $100k
...the nation's leading specialty risk manager for self-insured... ...employer, and treating physician to document relevant facts surrounding the... .... Establish, monitor, and adjust monetary case reserves when warranted... ...applicants with arrest or conviction records. #LI-HybridRiskFull time$105.7k - $234.5k
...Centers of Excellence agreements, Medicare Advantage, Medi-Cal, hospital, medical... .... The Senior Managed Care Specialist partners with Finance,... ...evaluate complex contract pricing, risk-sharing provisions,... ...discrepancies, and ensure modeling integrity Analyze payer agreements to...RiskContract work$200k
...experience across brands. This role can be hybrid in our Salt Lake City office or in our... ...during periods of change Employee Relations & Risk Management Oversee complex employee... ...&D, Finance, and Operations to ensure an integrated people strategy Use data and insights to...RiskWork at officeLocal areaImmediate start$99k - $225k
Systems Integration Engineer, Lead The Opportunity Join Booz Allen’s strategic team to work on... ...PCA 2+ years of experience performing risk management on space, ground, software, or... ...occasional on‑site work may be required. Hybrid: This role may require frequent work from...RiskContract workFor contractorsCasual workWork at officeLocal areaRemote work$70k - $85k
...highly motivated Risk Adjustment Coding Specialist to support our IPAs... ...Teams Operate with Integrity & Excellence Be... ...Review provider documentation of diagnostic data... ...verify that all Medicare Advantage, Affordable Care Act... ...and supported by clinical documentation to...RiskRemote jobFull timeWork at office- ...Mantek Solutions, Inc. is seeking a Senior Energy Risk Management Specialist in Los Angeles. This role involves quantitative risk modeling and managing... ...and be familiar with ETRM systems. The position offers a hybrid work model with a focus on a long-term contract and...RiskLong term contractContract work
$135k - $145k
...primary care, integrated health plan coverage... ...you’ll be the clinical leader at the... ...enrollment documentation audit-ready,... ...requirements. In this hybrid role, you’ll... ...and escalate risks: Spot clinical... ...roles, we adjust pay based on... ...Your Future Take advantage of our 401(k)...RiskTemporary workPart timeWork at officeLocal areaRemote workMonday to FridayFlexible hours$140k - $160k
...Physician Assistant - Hybrid (San Bernardino)... ...: Quality - Risk Adjustment Ops Employment... ...Department, the Clinical Operations team leads... ...Operate with Integrity & Excellence Be... ...covered markets Document chief complaint,... ...pertains to AWV/Medicare/ACO population...RiskFull timeLocal area10 hours per weekShift work- ...Executive Protection - Field Agent and/or Hybrid RST Agent Job Description Posted Monday,... ...a global, AI-enhanced provider of travel risk management, mass communications, critical... ...protector, someone who embodies vigilance, integrity, and elite operational discipline. You...RiskWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid). Be the first to apply!
- health records assistant Los Angeles, CA
- medical reviewer Los Angeles, CA
- clinical documentation specialist Los Angeles, CA
- remote clinical documentation specialist Los Angeles, CA
- clinical documentation specialist rn Los Angeles, CA
- medical records reviewer Los Angeles, CA
- clinical reviewer Los Angeles, CA
- medical records reviewer remote Los Angeles, CA
- medical record assistant Los Angeles, CA
- medical records administrator Los Angeles, CA

