RN CDI Specialist: Elevate CMS-HCC Documentation
myPlace Care Partners, P.C.
myPlace Health in California is seeking a CDI Specialist to ensure accurate, clinically specific provider documentation across the participant population within the PACE model. You will collaborate with physicians, nurse practitioners, and care teams to support compliant CMS-HCC capture and documentation improvement. Requirements include active, unrestricted RN or NP license in California and at least three years of outpatient clinical experience. #J-18808-Ljbffr myPlace Care Partners, P.C.
- myPlace Health is seeking a CDI Specialist to support accurate provider documentation across our PACE participant population in California. You will review medical... ..., and collaborate with clinicians to ensure CMS-HCC capture reflects patient complexity and care needs....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
- ...UnitedHealth Group is seeking a Clinical Documentation Improvement Specialist to review and improve clinical documentation within the... ...and offers a comprehensive benefits package. Prior CDI experience is preferred, with RN or medical school graduate backgrounds considered...SuggestedRemote work
$72.8k - $130k
...UnitedHealth Group is seeking a Clinical Documentation Improvement professional to review records promptly and guide physicians toward evidence-based documentation. The role emphasizes collaboration with medical leadership to enhance care quality and health outcomes....SuggestedRemote work$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
$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
- ...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
$93.8k - $128.95k
NOR Healthcare Systems in Bellflower, CA is seeking a CDI Specialist Level II responsible for conducting reviews of inpatient medical records. You will ensure that clinical documentation reflects healthcare standards and reimbursement compliance. This position requires...- ..., 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
$140k - $170k
...STARS, and Accurate/Compliant Documentation performance. Ideal candidates... ...and risk adjustment teams to elevate complex cases and support... ...guidelines (e.g., MEAT criteria, CMS HCC coding standards).... ...the MSO’s Risk Adjustment and CDI teams to optimize visit workflows...CmsFlexible hours- ...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
- 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
$47.74 - $61.12 per hour
...Home Health RN Carson, CA, USA The WelbeHealth PACE program helps seniors stay... ...compassionate care in participants' homes under CMS guidelines, ensuring participants... ...through flexible scheduling and built-in documentation time We care about our team members....CmsHourly payFlexible hours- ...CA, is seeking a Risk Adjustment Coding Specialist to own retrospective CDI chart reviews, strengthen coding compliance... ...to drive accurate coding and timely CMS submissions. You will design coding audits, resolve documentation gaps, and translate coding guidance for clinical...Cms
$22.12 - $27.93 per hour
...direct, lasting impact. As the Medi-Cal Specialist, you’ll help bring PACE (Program of All-... ...applications (often through home visits), keeping documentation spotless in our CRM, coordinating with... ...integrity: Strictly adheres to DHCS and CMS regulations and policies regarding PACE...CmsTemporary workWork at officeLocal areaRemote workMonday to Friday$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 week- 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
$80k - $120k
...JOB DESCRIPTION: SAIC is seeking a Configuration Management Specialist to join our team in El Segundo, CA. SAIC is sub-contractor on... ...Management (CM) Ensure system changes are properly identified, documented, controlled, and audited, minimizing risks and maximizing...CmsContract workFor contractorsFor subcontractorWork at office$25 - $30 per hour
...Revenue Cycle Specialist Hot Job Gardena, CA 90249 Overview Salary Range $25.00 - $30.00 Hourly Level Experienced Position Type... ...and accounting regulations, company policy, HIPAA, 42CFR, CMS, DHCS, DPH/SAPC, DMH guidelines and statutes and contract requirements...CmsHourly payFull timeContract workWork at officeShift work$97k - $121k
...Title: Configuration Management Specialist Belong. Connect. Grow. with KBR! KBR's National Security Solutions team provides high... ...(CM) Ensure system changes are properly identified, documented, controlled, and audited, minimizing risks and maximizing efficiency...CmsContract workFor contractorsFor subcontractorWork at officeLocal areaFlexible hours- ...Claims Support Specialist Provides support for claims activities including reviewing and... ...Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Facilitates... ...summaries and correspondence, and documents findings accordingly (includes information...CmsRemote jobContract workWork at office
- ...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
- 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...
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