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Clinical Documentation Integrity Specialist, Coder
TGH Senior Center Powered by Greenbrook MedicalCDI Coding Specialist validating ICD-10 codes to support high-quality care for seniors. Collaborating with clinical teams and maintaining accurate documentation according to coding standards.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in ICD-10 coding and CMS-HCC risk adjustment, with a strong foundation in medical terminology, anatomy, and disease processes. Proven ability to conduct thorough chart reviews and maintain compliance while ensuring accurate coding and documentation.
Highest-signal resume keywords
CPC CertificationICD-10 Coding ExperienceCMS-HCC Risk AdjustmentHEDIS/Stars ExperienceMedical Terminology Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
ICD-10 CodingCMS-HCC Risk AdjustmentHEDIS/Stars CodingChart ReviewDiagnosis Code ValidationMedical Documentation Analysis
Tools & Technologies
MS OfficeExcelPowerPointWord
Certifications & Qualifications
CPC Certification
Industry Keywords
Medical TerminologyAnatomyPhysiologyDisease ProcessesPharmacologyPatient ConfidentialityCompliance
About the role
Key responsibilities & impact- Apply expert coding judgment using ICD‑10 guidelines to validate accurate diagnosis codes in medical record documentation
- Support the clinical care teams through completion of comprehensive pre-visit and post-encounter chart reviews
- Review documentation to ensure every submitted code is fully supported
- Analyze MRA reports to surface unreported or unresolved conditions
- Query providers when clarification or additional documentation is needed
- Maintain compliance and protect patient confidentiality
Requirements
What you’ll need- Professional Coder (CPC) Certification
- 3+ years of experience in CMS-HCC risk adjustment or HCC coding
- 3+ years of ICD‑10 coding experience
- 1+ year of HEDIS/Stars experience
- Strong knowledge of medical terminology, anatomy, physiology, disease processes, and pharmacology
- Proficiency with MS Office (Excel, PowerPoint, Word)
Benefits
Comp & perks- Generous annual performance bonus
- Health, dental, and vision insurance
- Paid time off + paid sick time
- 401(k) with company match