drjobs Clinical Documentation Integrity Coder

Clinical Documentation Integrity Coder

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Job Location drjobs

Allentown, PA - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

The Clinical Documentation Integrity (CDI) Coder is responsible for conducting comprehensive reviews of medical records to ensure the accurate assignment of diagnostic and procedural codes in alignment with provider documentation. This role is critical to maintaining compliance with organizational policies ICD10CM CPT and HCPCS guidelines as well as CMS regulations.
Key responsibilities include ensuring precision and efficiency in coding to support the organizations valuebased care initiatives. The CDI Coder serves as production staff tasked with meeting established productivity and accuracy benchmarks while upholding data integrity and coding compliance standards.

Responsibilities:

    • Conduct detailed reviews of medical records to accurately assign ICD10CM CPT and HCPCS codes ensuring compliance with coding guidelines and payerspecific regulations.
    • Identify and report documentation deficiencies or discrepancies impacting coding accuracy.
    • Collaborate with the Clinical Documentation Integrity (CDI) team to address gaps and improve documentation quality.
    • Maintain uptodate knowledge of coding guidelines updates and payerspecific requirements.
    • Support compliance initiatives by identifying trends patterns and areas requiring improvement where applicable. Contribute to audits and coding quality assurance processes.

Qualifications:

    • Current certification as a Certified Professional Coder (CPC) Certified Coding Specialist Physicianbased (CCSP) or Certified Risk Adjustment Coder (CRC)
    • Bachelors degree in a healthcarerelated field or equivalent experience preferred.
    • 2 years of experience in medical coding preferably in risk adjustment or outpatient settings.
    • Thorough understanding of ICD10CM CPT and HCPCS coding guidelines and CMS regulations.
    • Experience with coding for valuebased care models and risk adjustment programs.
    • Strong attention to detail and the ability to work independently in a productionoriented environment.
    • Proficient with coding software and electronic medical record (EMR) systems.

Preferred Knowledge Skills and Abilities:

    • Certification in Clinical Documentation Integrity (e.g. CDEO CCDSO).
    • Experience working in a valuebased care organization health insurance companies or Accountable Care Organization (ACO).
    • Familiarity with Google Suite tools or similar platforms.

Physical Requirements:

    • Prolonged periods of sitting and extensive use of a computer.
    • Ability to meet deadlines and maintain high levels of focus in a remote work environment.
Who We Are:
Aledade a public benefit corporation exists to empower the most transformational part of our health care landscape independent primary care. We were founded in 2014 and since then weve become the largest network of independent primary care in the country helping practices health centers and clinics deliver better care to their patients and thrive in valuebased care. Additionally by creating valuebased contracts across a wide variety of health plans we aim to flip the script on the traditional feeforservice model. Our work strengthens continuity of care aligns incentives and ensures primary care physicians are paid for what they do best keeping patients healthy. If you want to help create a health care system that is good for patients good for practices and good for society and if youre eager to join a collaborative inclusive and remotefirst culture youve come to the right place.

What Does This Mean for You
At Aledade you will be part of a creative culture that is driven by a passion for tackling complex issues with respect openmindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences interests backgrounds beliefs and achievements to their work and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support worklife balance and enjoyment we offer the following comprehensive benefits package designed for the overall wellbeing of our team members:

Flexible work schedules and the ability to work remotely are available for many roles
Health dental and vision insurance paid up to 80% for employees dependents and domestic partners
Robust timeoff plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!

At Aledade we dont just accept differences we celebrate them! We strive to attract develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit qualifications performance and business needs. All qualified candidates will receive consideration for employment without regard to age race color national origin gender (including pregnancy childbirth or medical conditions related to pregnancy or childbirth) gender identity or expression religion physical or mental disability medical condition legally protected genetic information marital status veteran status or sexual orientation.

Privacy Policy:By applying for this job you agree to AledadesApplicant Privacy Policy available at

Employment Type

Full-Time

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