Clinical Documentation Improvement Specialist Join to apply for the Clinical Documentation Improvement Specialist role at Mosaic Health . Role Overview Responsible for conducting retrospective medical reviews to assess medical record documentation and monitor submitted codes on claims/encounters for Medicare Risk Adjustment. Location & Work Arrangement Location: Must reside in Los Angeles, Los Angeles County, or Orange County. This is a hybrid role requiring travel to multiple locations 2 days per week, with 3 days working from home. Primary Responsibilities Conduct retrospective reviews of medical records and claims to assess documentation practices and accuracy. Verify the accuracy and appropriateness of submitted diagnosis codes based on medical record documentation, ensuring details are supported and comprehensive. Identify and recommend coding best practices to address discrepancies and unsupported code changes. Update policies, procedures, and training materials to reflect best practices. Monitor adherence to established protocols and communicate findings regularly. Review documentation of well visits and routine preventive visits, ensuring proper use of modifiers for HEDIS scoring. Continuously review medical records to validate improvements, identify new opportunities, and ensure ongoing coding accuracy and compliance. Requirements Minimum 2 years of coding experience across all medical record types, including Medicare Risk Adjustment, in a physician or large group practice setting. Current Certified Professional Coder (CPC, CPC-H, CCS, or CCS-P) certification required. Experience in procedural clinical coding preferred. Clinical background (e.g., RN, LPN, foreign medical graduates) is preferred. Compensation: $90,160 - $112,700 & bonus eligibility. Additional Details Seniority level: Entry level Employment type: Full-time Job function: Healthcare Provider Industries: Hospitals and Healthcare #J-18808-Ljbffr Mosaic Health
...Job Description Job Description Position Purpose: The Cell Tower Technician is responsible for implementation & execution of all tower & RF related construction activities performed on all carrier wireless sites Responsibilities/Duties/Knowledge: Installation...
...request an accommodation for help with your online application, please call or send an email to . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment....
...Job Description Job Description The Opportunity: Corporate Paralegal Send resumes to: ****@*****.*** About the Opportunity Our client, a prestigious global law firm, is seeking a highly skilled Corporate Paralegal to join their Corporate...
...401K with Company Match: Invest in your future quickly; with our company match- we help grow your savings fast. Remote Work from Home Days: Up to 52 days per year- to focus on treatment documentation-giving you protected time to stay ahead, avoid burnout, and...
...At AIG, we are reimagining the way we help customers to manage risk. Join us as an Underwriter, AIG Risk Management, AIGRM to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the team. Make your mark...