Synapticure Inc.
The era of personalized care is finally coming to Neurodegenerative disease
Clinical Documentation & Coding Specialist
Location
Illinois
Posted
85 days ago
Salary
Not specified
High School2 yrs expEnglish
Job Description
Perform comprehensive chart preparation for dementia-care patients by reviewing multi-year clinical histories, consult notes, diagnostics, medication lists, and hospital records.
Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review.
Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits.
Accurately assign ICD-10-CM codes in compliance with CMS HCC guidelines and official coding rules.
Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record.
Review post-visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations.
Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices.
Provide feedback and education to providers on documentation needs for accurate HCC capture.
Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows.
Maintain high accuracy and productivity benchmarks in both chart prep and coding.
Participate in internal and external audits and implement corrective actions as needed.
Stay current with CMS, HHS, and payer-specific risk adjustment updates, especially those impacting neurology and dementia care.
Ensure CPT/HCPCS/ICD-10 coding for encounter-based services is accurate, compliant, and ready for timely claim submission.
Job Requirements
- High school diploma required; Associate’s or Bachelor’s degree in a health-related field preferred.
- Active **CPC** or **CCS** certification (AAPC or AHIMA).
- CRC certification strongly preferred.**
- 2–3+ years of medical coding experience, including 1–2 years in HCC/risk adjustment.
- Demonstrated experience performing detailed pre-visit chart preparation.
- Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred).
- Strong understanding of ICD-10-CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles.
- Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps.
- Excellent communication skills for provider interaction and compliant query writing.
- Proficiency with coding software, EHR platforms, and technology tools.
- Ability to work independently, maintain accuracy under volume, and meet tight deadlines.
Benefits
- Competitive salary based on experience
- Comprehensive medical, dental, and vision coverage
- 401(k) plan with employer match
- Remote-first work environment with home office stipend
- Generous paid time off and sick leave
- Professional development and career growth opportunities
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