Clinical Documentation Specialist (Risk Adjustment Coder) - Remote

Overview

The Clinical Documentation Specialist will support coding initiatives, ensuring accuracy and compliance in medical documentation for Commonwealth Care Alliance.

In Short

• Evaluate medical record documentation and coding for reimbursement optimization.
• Ensure compliance with ICD-10-CM and CPT coding standards.
• Provide technical guidance to primary care sites on coding issues.
• Maintain a 95% quality audit accuracy rate.
• Conduct education training programs on documentation requirements.
• Stay updated with changes in coding laws and regulations.
• Assist in identifying training needs and developing training materials.
• Maintain related coding credentials and CEU requirements.
• Work in a predominantly office setting with remote work opportunities.
• Communicate effectively with clinical staff regarding coding and documentation.

Requirements

• Associate's Degree or equivalent experience required.
• Certified Coding Specialist (CCS, CCS-P) or Certified Professional Coder (CPC) required.
• Certified Risk Adjustment Coder (CRC) certification required.
• 2-4 years of experience in a healthcare setting.
• Proficient knowledge of ICD-10-CM, CPT coding, and Medicare/Medicaid guidelines.
• Strong verbal and written communication skills.
• Ability to develop and deliver education programs.
• Experience with EMRs (eCW, Epic, etc.) preferred.
• Attention to detail and ability to multi-task.
• Ability to build interpersonal relationships with clinical staff.

Benefits

• Opportunity to work remotely.
• Supportive work environment focused on quality care.
• Access to ongoing training and professional development.
• Engagement with a mission-driven organization.
• Collaborative team atmosphere.
• Potential for career advancement within the organization.
• Comprehensive health benefits.
• Flexible work arrangements.
• Participation in innovative healthcare initiatives.
• Contribution to improved health outcomes for individuals in need.