Clinical Documentation Specialist, Risk Adjustment

Clinical Documentation Specialist, Risk Adjustment

Job ID 19993 Location Los Angeles, California, United States Job Category Patient Financial Services Date posted 09/04/2026

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Job Description

The Clinical Documentation Specialist works independently and is responsible for performing clinical chart

reviews and pre-charting on risk adjustable patient populations. The Clinical Documentation Specialist

exercises critical thinking by applying clinical knowledge to correlate relevant diagnoses for the primary

care physician (PCP) to consider at the time of the face to face visit. The Clinical Documentation Specialist

will also be responsible for tracking and verifying all their findings.

Leads or provides education/training to clinical care and administrative support team members regarding

the clinical documentation requirements essential for risk adjustable diagnoses and their impact on

reimbursement and regulatory requirements set forth by CMS and other regulatory entities. Assists in

developing educational materials as needed.

Qualifications

Education

• High School Diploma/GED - minimum
• Bachelor''s Degree Bachelor''s Degree in Nursing or Health Information Management. - preferred

Experience

• 3 years Medicare risk adjustment coding & documentation required
• 2 years Experience providing training information to clinical and administrative

staff preferred

• 3 years Experience using software such as Microsoft Office including Excel and

PowerPoint to develop presentations preferred

• 1 year Exposure to risk adjustment analytics platform(s) to gain insights into

risk adjustment performance and opportunities required

Licenses and Certifications

• Valid Clinical CA license preferred (PA, NP, LVN or RN)
• Registered Health Information Administrator preferred
• AHIMA or AAPC coding credential and/or registration (One or more of the following: CDIP, CDEO, CCS, CPC, CRC) required

About Us

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow''s health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About the Team

With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.

Req ID 19993 Working Title Clinical Documentation Specialist, Risk Adjustment Department MNS Quality Mgmt Business Entity Cedars-Sinai Medical Center Job Category Patient Financial Services Job Specialty Revenue Integrity Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $51.72 - $82.75

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Diversity and Inclusion at Cedars-Sinai

We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve - because that's what our patients, colleagues and communities deserve Quality Care and Research-For All, By All.

Our compensation philosophy

We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills: relevant experience and training, education/certifications/licensure; and other business and organizational factors. The base pay range does not include any incentive payments that may be applicable to a role. Pay Transparency Non-Discrimination Provision (PDF) .

Cedars-Sinai is an Equal Employment Opportunity employer.

Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.

Cedars-Sinai's AA Policy Statement (PDF)