The Clinical Documentation Integrity (CDI) Coder is responsible for thoroughly reviewing medical records to ensure diagnostic and procedural codes are accurately assigned in accordance with provider documentation. This position plays a key role in ensuring compliance with internal policies, ICD-10-CM, CPT, and HCPCS coding standards, as well as CMS regulations.

Primary duties include delivering accurate and efficient coding to support the organization’s value-based care goals. As a production team member, the CDI Coder is expected to meet productivity and accuracy targets while maintaining data integrity and coding compliance.

Responsibilities:

– Perform in-depth reviews of medical records to assign ICD-10-CM, CPT, and HCPCS codes accurately, following coding standards and payer-specific rules.
– Detect and report any inconsistencies or gaps in documentation that affect coding accuracy.
– Work closely with the CDI team to resolve documentation issues and enhance documentation quality.
– Stay current with coding updates, guidelines, and payer requirements.
– Assist with compliance efforts by identifying trends and areas for improvement, and contribute to audits and quality assurance activities.

Qualifications:

– Active certification as a CPC, CCS-P, or CRC.
– Bachelor’s degree in a healthcare-related field or equivalent experience preferred.
– At least two years of experience in medical coding, ideally in risk adjustment or outpatient settings.
– Strong knowledge of ICD-10-CM, CPT, and HCPCS coding standards and CMS rules.
– Experience with coding for value-based care and risk adjustment programs.
– High attention to detail and ability to work independently in a production-driven setting.
– Proficiency with coding software and EMR systems.

Preferred Knowledge, Skills, and Abilities:

– Certification in Clinical Documentation Integrity (e.g., CDEO®, CCDS-O).
– Experience in value-based care organizations, health insurers, or ACOs.
– Familiarity with Google Suite or similar tools.

Physical Requirements:

– Extended periods of sitting and frequent computer use.
– Ability to meet deadlines and maintain focus in a remote work environment.

Who We Are:

Aledade is a public benefit corporation dedicated to empowering independent primary care practices. Founded in 2014, we’ve grown into the largest network of independent primary care in the U.S., helping practices succeed in value-based care. By establishing value-based contracts with various health plans, we aim to move away from fee-for-service models, promoting continuity of care, aligning incentives, and ensuring primary care providers are rewarded for keeping patients healthy. If you’re passionate about transforming healthcare and want to be part of a collaborative, inclusive, remote-first team, Aledade is the place for you.

What This Means for You:

At Aledade, you’ll join a creative and inclusive culture focused on solving complex challenges with respect and curiosity. Our team brings diverse backgrounds, experiences, and perspectives, all united by a shared commitment to public health and our mission.

We offer a comprehensive benefits package that supports your well-being, including:

– Flexible schedules and remote work options for many roles
– Health, dental, and vision insurance covering up to 80% for employees, dependents, and domestic partners
– 21 days of PTO in your first year
– Two paid volunteer days and 11 paid holidays
– 12 weeks of paid parental leave for all new parents
– Six-week paid sabbatical after six years of service
– Educational and clinical reimbursement programs
– 401(k) with up to 4% match
– Stock options
– And more!

Aledade values and celebrates diversity. We are committed to creating an inclusive environment and are proud to be an equal opportunity employer. Employment decisions are based on merit, qualifications, and business needs, without regard to race, gender, age, disability, or other protected characteristics.

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