Clinical Documentation Integrity Specialist, Coder

This is a fully remote position, open to applicants in United States.

📋 Description

• Utilize expert coding expertise in accordance with ICD‑10 guidelines to ensure the accuracy of diagnosis codes within medical record documentation.

• Assist the clinical care teams by conducting thorough pre-visit and post-encounter chart reviews.

• Examine MRA reports to identify unreported or unresolved medical conditions.

• Provide education to clinicians regarding best practices for HCC coding and documentation.

• Analyze system-generated reports to rectify or complete any missing information.

⛳️ Requirements

• Certified Professional Coder (CPC) Certification.

• Over 3 years of experience in CMS-HCC risk adjustment or HCC coding.

• More than 3 years of experience in ICD‑10 coding.

• At least 1 year of experience with HEDIS/Stars.

• In-depth knowledge of medical terminology, anatomy, physiology, disease processes, and pharmacology.

• Competence in MS Office applications (Excel, PowerPoint, Word).

🏝️ Benefits

• Generous annual performance bonus.

• Health, dental, and vision insurance coverage.

• Paid time off in addition to paid sick leave.

• 401(k) plan with a company match.