Coding and Clinical Documentation Specialist

Work From Home Opportunity
Direct Client | Full-Time
Schedule: 8:00 AM - 5:00 PM PST

Please carefully review the requirements below and apply only if you meet the qualifications and are available.

The Coding and Clinical Documentation Specialist ensures that clinical documentation accurately reflects services provided while aligning with regulatory requirements. This role is integral to optimizing coding accuracy, improving reimbursement processes, and supporting our commitment to compliance and high-quality patient care.

The ideal candidate has a strong background in medical coding, clinical documentation improvement (CDI), and telehealth standards.

Key Responsibilities

Medical Coding:

Review and assign accurate ICD-10, CPT, and HCPCS codes to diagnoses and procedures in compliance with industry and regulatory standards.
Collaborate with clinical staff to ensure accurate and complete coding while adhering to federal and state regulations.
Stay updated on coding guidelines and ensure codes reflect current practices.
Clinical Documentation Improvement (CDI):

Evaluate clinical documentation to ensure accuracy and compliance with assigned codes.
Work closely with healthcare providers to clarify and improve documentation practices.
Conduct regular documentation audits and address gaps through improvement plans.
Compliance and Quality Assurance:

Ensure adherence to HIPAA, CMS guidelines, and coding standards.
Support internal and external audits by providing necessary documentation.
Implement quality assurance measures to improve coding accuracy and optimize reimbursement.
Training and Education:

Provide training sessions for clinical staff on documentation best practices, coding updates, and telehealth requirements.
Serve as a resource for coding-related questions and clarifications.
Reporting and Analysis:

Generate reports on coding accuracy, error rates, and reimbursement trends.
Analyze trends to support continuous improvement in coding and documentation practices.
Qualifications

Education:

Associate’s or Bachelor’s degree in Health Information Management, Health Informatics, or a related field.
Certification (preferred but not required):

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS).
Experience:

Minimum of 3 years in medical coding and clinical documentation, preferably in telehealth, obesity management, or a related healthcare field.
Familiarity with EHR systems (e.g., DrChrono, Epic, Cerner, AthenaHealth) is strongly preferred.
Skills:

Proficiency in ICD-10, CPT, and HCPCS coding.
Strong analytical skills and attention to detail.
Excellent communication skills with the ability to collaborate effectively.
Attributes:

Highly organized, self-motivated, and deadline-oriented.
Strong ethical standards with a commitment to confidentiality and accuracy.
Adaptability to evolving healthcare regulations and standards.

How to Apply
If this role resonates with you, please submit your resume and cover letter detailing your interest to lois.suicon@wildhealth.com. Use the subject line: Coding and Clinical Documentation Specialist Application.

Due to the volume of applications we receive, not all applicants will receive a response. Thank you for your understanding.