Documentation Integrity and Coding Compliance Specialist

Bronson Healthcare

Documentation integrity specialist improving clinical records, coding compliance, and risk adjustment for Bronson Healthcare, a nonprofit Michigan health system. Hybrid provider education and audit role.

Posted 8/19/2026full-timeMissouri • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical documentation integrity, coding compliance, and risk adjustment, with a strong focus on ICD-10-CM, CPT, and HCPCS methodologies. Capable of collaborating with healthcare providers and teams to enhance documentation accuracy and support revenue cycle operations.

Highest-signal resume keywords

ICD-10-CM CodingCPT CodingHCPCS CodingCertified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation IntegrityCoding ComplianceRisk AdjustmentMedical Record AuditingDocumentation RequirementsReimbursement MethodologiesRegulatory Compliance StandardsAudit Defense PreparationData ReviewProvider Education

Soft Skills

Exceptional Communication SkillsInterpersonal SkillsLeadership AbilitiesCollaboration SkillsAnalytical Skills

Tools & Technologies

CDI ToolsCoding ToolsReporting Tools

Certifications & Qualifications

Certified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC)Certified Documentation Expert Outpatient (CDEO)Certified Value-Based Associate (CVBA)

Industry Keywords

Revenue CycleValue-Based Care ModelsCMS-HCC MethodologyAudit DefenseRisk Adjustment Strategy

About the role

Key responsibilities & impact

Analyze clinical documentation for completeness, coding accuracy, coding compliance, and risk adjustment documentation integrity
Facilitate documentation modifications and clarification to support accurate hospital, physician, professional, and value-based billing and reporting
Work with physicians and advanced practice providers to ensure diagnoses, services, and procedures accurately reflect services provided
Serve as an expert coding, documentation, compliance, and risk adjustment resource for coding, CDI, quality, revenue cycle, and operational teams
Perform initial, concurrent, retrospective, and follow-up medical record reviews
Evaluate ICD-10-CM, CPT, HCPCS, CMS-HCC capture, documentation consistency and specificity, coding accuracy, and regulatory compliance
Document findings in audit, CDI, coding, and reporting tools and verify key documentation and coding information
Interpret clinical information, diagnoses, medications, treatment plans, test results, payer requirements, and regulatory requirements to improve documentation
Identify documentation improvement opportunities and collaborate with medical staff, advanced practice providers, coding, CDI, revenue cycle, and quality teams
Communicate with providers to obtain or offer more specific documentation of diagnoses, comorbidities, complications, HCC conditions, clinical indicators, and services rendered
Collaborate with coding staff on coding guidelines, tracking information, service profiling and reporting, data review, and physician education
Develop and present audit findings, trends, recommendations, education, and performance information to administrative, clinical, operational, compliance, provider, and committee stakeholders
Support clinical denials, payer audits, risk adjustment validation, regulatory reviews, denial prevention, audit defense preparation, written responses, and appeals
Demonstrate commitment to Bronson program goals, vision, values, and mission

Requirements

What you’ll need

Bachelor’s degree required; Master’s degree preferred
Experience in clinical documentation integrity, coding compliance, risk adjustment, provider education, revenue cycle, medical record auditing, or related healthcare operations required
Strong knowledge of ICD-10-CM, CPT, HCPCS, CMS-HCC methodology, coding guidelines, documentation requirements, reimbursement methodologies, and regulatory compliance standards required
Required certifications: CRC – Certified Risk Adjustment Coder and CPC – Certified Professional Coder
CDEO – Certified Documentation Expert Outpatient strongly preferred at hire and required within twelve months of employment
CVBA – Certified Value-Based Associate recommended/preferred but not required
RN may be required for certain departments; RN license is not required for this position
Exceptional communication and interpersonal skills
Self-directed and flexible
Leadership abilities and collaboration skills
Strong analytical skills and advanced problem-solving ability
Knowledge of Bronson / Community systems related to assigned service line or area of responsibility
Ability to attend to detail while maintaining awareness of overall goals, compliance priorities, and operational impact
Ability to function effectively in a fluid, dynamic, rapidly changing environment
Prefer experience with risk adjustment strategy, RAF optimization, CMS-HCC documentation, audit defense preparation, coding quality audits, and value-based care models

Benefits

Comp & perks

Full-time employment
Hybrid work arrangement
Bronson Healthcare employment benefits are not specifically listed in the posting