Clinical Documentation Integrity Coder

Summary

Join Aledade as a Clinical Documentation Integrity (CDI) Coder and conduct comprehensive reviews of medical records to accurately assign diagnostic and procedural codes. This critical role ensures compliance with organizational policies, coding guidelines, and CMS regulations. Key responsibilities include precise and efficient coding to support value-based care initiatives, meeting productivity benchmarks, and upholding data integrity. You will collaborate with the CDI team, maintain up-to-date coding knowledge, and contribute to compliance initiatives. The ideal candidate possesses relevant certifications, coding experience, and a strong understanding of coding guidelines. Aledade offers a comprehensive benefits package including flexible work schedules, remote work options, and various health and wellness benefits.

Requirements

• Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or Certified Risk Adjustment Coder (CRC)
• Bachelor’s degree in a healthcare-related field or equivalent experience preferred
• 2+ years of experience in medical coding, preferably in risk adjustment or outpatient settings
• Thorough understanding of ICD-10-CM, CPT, and HCPCS coding guidelines and CMS regulations
• Experience with coding for value-based care models and risk adjustment programs
• Strong attention to detail and the ability to work independently in a production-oriented environment
• Proficient with coding software and electronic medical record (EMR) systems

Responsibilities

• Conduct detailed reviews of medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes ensuring compliance with coding guidelines and payer-specific 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 up-to-date knowledge of coding guidelines, updates, and payer-specific requirements
• Support compliance initiatives by identifying trends, patterns, and areas requiring improvement where applicable. Contribute to audits and coding quality assurance processes

Preferred Qualifications

• Certification in Clinical Documentation Integrity (e.g., CDEO®, CCDS-O)
• Experience working in a value-based care organization, health insurance companies, or Accountable Care Organization (ACO)
• Familiarity with Google Suite tools or similar platforms

Benefits

• 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 time-off 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