Coding Specialist

Responsibilities

• Conduct comprehensive prospective reviews of medical records to validate the accuracy and completeness of ICD-10-CM diagnosis coding, CPT procedure coding, and supporting clinical documentation.
• Identify documentation gaps and risk adjustment coding opportunities to support accurate capture of patient complexity and disease burden.
• Provide timely feedback to providers on documentation gaps and coding opportunities identified through chart reviews.
• Educate providers on documentation best practices and risk adjustment requirements.
• Identify and communicate documentation trends to support ongoing improvement.
• Maintain compliance with applicable coding, documentation, and risk adjustment guidelines.
• Stay current on regulatory and industry changes affecting coding and documentation practices.
• Support coding quality reviews and audit activities as needed.

Requirements

• CPC certification.
• Experience with risk adjustment coding and clinical documentation improvement (CDI).
• Strong organization and ability to manage multiple tasks under pressure.
• Effective listening, communication, and relationship-building skills.
• Comfort working in a fast-paced environment with ambiguity and changing priorities.
• Ability to learn and use new technologies.
• Must be located within the lower 48 United States due to contractual limitations related to accessing PHI.

Nice to Have

• Oncology coding experience.
• CRC or CDEO certification.
• Experience with video chat, Google Suite, Slack, or electronic health records.

Compensation and Benefits

• Non-exempt, part-time position.
• Pay rate: $41.50/hour.