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Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)

UCLA Health
Location 📍 Los Angeles, United States
Posted 📅 June 22, 2026
Work Type ⏰ Full-time

Position Overview

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 $95,400-208,300/annually. Please note that the department's target pay range is $95,400 - $120,000/annually.

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Job Details

Employment Type
Full-time
📊
Category
other-general
🏠
Work Arrangement
On-site
📍
Location
Los Angeles, United States