Clinical Documentation Integrity Specialist (Coder)
New
G
Greenbrook MedicalPrimary care
Remote within the U.S.; preference for those located in Eastern or Central time zones., Eastern or Central time zones preferredFull-TimeMiddle
Salary$33-$36 per hour, based on experience and qualifications
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Job Details
- Experience
- 3+ years of experience in CMS-HCC risk adjustment or HCC coding; 3+ years of ICD-10 coding experience; 1+ year of HEDIS/Stars experience
- Required Skills
- MS Office
Requirements
- Professional Coder (CPC) Certification
- 3+ years of experience in CMS-HCC risk adjustment or HCC coding
- 3+ years of ICD-10 coding experience
- 1+ year of HEDIS/Stars experience
- Experience working in both prospective and concurrent workflows
- Strong knowledge of medical terminology, anatomy, physiology, disease processes, and pharmacology
- Proficiency with MS Office (Excel, PowerPoint, Word)
- Ability to defend coding decisions clearly and professionally
- Strong organization, attention to detail, and comfort working in a fast-paced environment
Responsibilities
- Apply expert coding judgment using ICD-10 guidelines to validate accurate diagnosis codes.
- Complete comprehensive pre-visit and post-encounter chart reviews.
- Abstract relevant clinical information and diagnostic codes from hospital claims, radiology reports, and specialist notes.
- Analyze MRA reports to surface unreported or unresolved conditions.
- Query providers when clarification or additional documentation is needed.
- Educate clinicians on HCC coding and documentation best practices.
- Review system-generated reports to correct or complete missing data.
- Communicate audit findings clearly to providers and internal teams.
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