• leading the development of high-quality and on-time clinical study documents • planning, writing, editing, formatting, and QC review of clinical documents including clinical study protocols, IBs, ICF templates, DSURs, CSRs • ensures smooth and effective document management in collaboration with Sponsor, external vendors, and/or internal project teams • independently formulate key messages from clinical study data • author complex content using knowledge/skills and understanding of processes • communicate clearly and concisely both in writing and verbally with internal and client teams • contribute to the development and maintenance of medical writing processes, SOPs, templates, and work instructions

• Lead the development of high-quality and on-time clinical study documents • Clinical document planning, writing, editing/formatting, and performing QC review • Develops documents in compliance with Precision MW Style Guide, Precision SOPs, applicable regulatory guidelines (ie, ICH, FDA, GCP) and eCTD requirements • Ensure smooth and effective document management from start to finish (ie, from template to final, approved version) in collaboration with Sponsor, external vendors, and/or internal Precision project teams/departments • Ability to independently formulate key messages from clinical study data • Contributes to the development and maintenance of medical writing processes, SOPs, templates, and work instructions for key documents • Performing literature-based research to support writing activities

• Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient • Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population • Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge • Formulate physician queries regarding missing, unclear, or conflicting health record documentation • Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation • Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues • Assists with Provider education, rounding and communication regarding open queries for resolution • Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding • Attends CDI Boot camp, CDI/coding trainings annually and quarterly

Title: Clinical Documentation Integrity Specialist Job Description: Work Location: Los Angeles, CA, USA Onsite or Remote Fully Remote Work Schedule Monday - Friday, 6:00 AM - 3:00 PM PST Salary Range: $95400 - 208300 Annually Employment Type 2 - Staff: Career Duration Indefinite Job # 29764 Primary Duties and Responsibilities Press space or enter keys to toggle section visibility 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 Clinical Documentation Integrity and Denial Management team, including all modalities. This role involves daily review of high-acuity patient records to identify potential and active payer denials, assess clinical validity, and to support denial prevention, analysis, and appeals across inpatient and outpatient settings; continuously communicating with department staff; educating physicians, residents, and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding, Clinical Documentation Integrity, 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. Leveraging your denial management experience, clinical expertise, and coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation for denial prevention. You will prepare and submit high quality appeal letters supported by clinical evidence, regulatory guidelines, and payor-specific medical necessity criteria, while identifying denial trends and root causes and provide feedback to the CDI and Clinical teams. Salary Range: $95,400.00 - $208,300.00/year Job Qualifications Press space or enter keys to toggle section visibility 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 ·Three or more years of Clinical Documentation Integrity experience required, preferably at an AMC ·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 an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Current/former UC employees are subject to a personnel file review.