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Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment; Hybrid
Job in
Los Angeles, Los Angeles County, California, 90079, USA
Listed on 2026-02-01
Listing for:
UCLA Outpatient Clinics
Full Time
position Listed on 2026-02-01
Job specializations:
-
Healthcare
Medical Records, Healthcare Administration
Job Description & How to Apply Below
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 plan. You will:
- Conduct medical record audits for physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic conditions
- Analyze coding patterns within medical groups.
- Provide customized education and updating educational materials for providers and medical groups.
- Participate in additional audit activities for CMS RADV as needed, including retrospective chart reviews.
- Travel to provider offices within Los Angeles area at least three days a week.
UCLA Health salary range for this title code is $95,/annually. Please note that the department's target pay range is $95,400 - $120,000/annually.
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