UCLA Health hiring Clinical Documentation Integrity Specialist • Remote (Work from Home) | Himalayas
UCLA HealthUH

Clinical Documentation Integrity Specialist

UCLA Health is a leading healthcare provider in California, recognized for its outstanding medical services and commitment to patient care, operating over 280 locations and ranked #1 in Los Angeles.

UCLA Health

Employee count: 5000+

Salary: 93k-202k USD

United States only

General Information

Work Location: Los Angeles, USA Onsite or Remote Fully Remote Work Schedule Monday-Friday 6am-3pm Posted Date 05/29/2025 Salary Range: $92600 - 202200 Annually Employment Type 2 - Staff: Career Duration Indefinite Job # 24257

Primary Duties and Responsibilities

Make a positive impact on one of the nation’s top health systems. Help ensure the efficient delivery of award-winning patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.

You will become a member of our highly successful of our Documentation Improvement Integrity team, including all modalities. This will involve daily reviews of high acuity patient records; continuously communicating with department staff; educating physicians, residents and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnoses. You will utilize your clinical expertise and coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation. You will also leverage physician queries to improve documentation quality while providing key support to medical coders, case managers and Quality staff.

Salary Range: $92,600.00 - $202,200.00/year


Job Qualifications

We’re seeking a detail-oriented, collaborative, self-directed individual with:

  • Bachelor’s degree in health-related field, preferred
  • A Registered Nurse (RN) license or MD diploma (or equivalent) required
  • Five or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management or prior clinical documentation review experience, required
  • Knowledge of coding guidelines and coding clinic, required
  • Knowledge of laws, rules and regulations regarding appropriate clinical documentation for Medicare, Medi-Cal, CCS etc.
  • Strong leadership, supervisory, and training skills

·Excellent critical thinking abilities

  • Experience working within EPIC and 3M 360 Encompass CAC, required
  • Resourcefulness and strong communication, organizational, and analytical skills
  • Ability to work effectively with physician/staff and interdisciplinary teams
  • Computer proficiency and proficiency in Word, Excel and PowerPoint, required
  • Skill in abstracting/interpreting medical information from patient records, required
  • Clinical experience sufficient to understand and communicate medical diagnoses and courses of treatment to professional and non-professional personnel, required
  • Knowledge of computer word processing, database programs, and ability to write reports and do graphical analysis, required

Note: Skills may be subject to test.


As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

About the job

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Posted on

Job type

Full Time

Experience level

Mid-level

Salary

Salary: 93k-202k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About UCLA Health

Learn more about UCLA Health and their company culture.

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UCLA Health is a distinguished healthcare provider renowned for delivering exceptional health care services across Southern California. With a commitment to excellence, UCLA Health has been ranked #1 in both California and Los Angeles, marking 35 consecutive years on the National Honor Roll of Best Hospitals. The organization operates over 280 locations throughout Southern California, providing comprehensive medical services that encompass primary care, specialty care, and urgent care. Patients seeking medical attention can easily schedule appointments, find doctors tailored to their needs, and access advanced technologies and treatments.

UCLA Health is not only focused on patient care but also on transforming medical practices through clinical trials. These trials allow participants to engage in groundbreaking research aimed at advancing healthcare and improving patient outcomes. Moreover, UCLA Health is dedicated to addressing the needs of vulnerable populations through initiatives like the Homeless Healthcare Collaborative, which aims to provide equitable and high-quality healthcare services to individuals experiencing homelessness in Los Angeles. With a pledge to equity and inclusion, UCLA Health strives to enhance health care accessibility for all, ensuring that their mission of healing and caring reaches the broader community. This esteemed institution exemplifies commitment, compassion, and a relentless pursuit of quality in healthcare.

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UCLA Health

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