Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor

Description

As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor, 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 $92,600-202,200/annually. Please note that the department's target pay range is $95,000 - $120,000/annually.

Note: This posted position is 1 of 4 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.