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

• Examine documentation to verify that each submitted code is adequately supported.

• Analyze MRA reports to identify conditions that have not been reported or resolved.

• Communicate with providers when further clarification or additional documentation is necessary.

• Uphold compliance standards while safeguarding patient confidentiality.

⛳️ 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 with ICD‑10 coding.

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

• Strong understanding of medical terminology, anatomy, physiology, disease processes, and pharmacology.

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

🏝️ Benefits

• Competitive annual performance bonus.

• Comprehensive health, dental, and vision insurance.

• Paid time off along with paid sick leave.

• 401(k) plan with company matching.