Clinical Documentation Integrity, Coder – Berryville, VA / Adrian, MI / Detroit, MI

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, ICD-10-CM, CPT, and HCPCS guidelines, as well as CMS regulations. Key responsibilities include ensuring precision and efficiency in coding to support the organization’s value-based 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 ICD-10-CM, CPT, and HCPCS codes ensuring compliance with coding guidelines and payer-specific regulations.
• Meet or exceed established productivity and accuracy standards as defined by organizational goals. 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.

Qualifications:

• Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), 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.

Preferred Knowledge, Skills, and Abilities:

• 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.

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, we’ve 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 value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service 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 you’re eager to join a collaborative, inclusive and remote-first culture – you’ve 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, open-mindedness 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 work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being 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 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 And much more! At Aledade, we don’t 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 Aledade’s Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants Apply To This Job