Clinical Documentation Reviewer

Position Overview

• Location Type: [Not Specified]
• Job Type: [Not Specified]
• Salary: [Not Specified]

Interwell Health is a kidney care management company dedicated to reimagining healthcare and helping patients live their best lives. We are seeking an experienced Risk Adjustment CDS Specialist coder to join our team. This role involves embedding within care teams to provide real-time documentation guidance, ensuring the accuracy of patient records, supporting provider engagement, and aligning with value-based care initiatives. The CDS Coding Specialist will collaborate with providers and the practice’s billing team for education to ensure optimal documentation and program effectiveness, while adhering to IWH corporate compliance programs and regulatory requirements.

Responsibilities

• Provide real-time documentation support to healthcare providers before and after patient encounters.
• Ensure accurate and complete documentation of patient diagnoses, treatments, and procedures.
• Clarify and query providers for additional information when necessary to ensure accurate coding.
• Work closely with physicians and APPs to improve documentation practices.
• Review patient charts to identify gaps in documentation and coding.
• Conduct training sessions for providers on documentation best practices, specificity, and risk adjustment.
• Stay updated on coding guidelines, regulatory requirements, and clinical trends.
• Ensure compliance with ICD-10 and CMS coding guidelines.

Requirements

• Certified Professional Coder (CPC).
• Certified Risk Adjustment Coder (CRC).
• 3+ years of experience with Risk Adjustment HCC coding or abstraction.
• 2+ years of ICD-10 coding and chart review auditing.
• Comprehensive understanding of HCC coding rules & regulations.
• Must be proficient with Excel functions.
• Proficiency in Epic system preferred.

Company Information

Interwell Health is committed to helping people and believes the work we do changes lives. Our mission is to reinvent healthcare to help patients live their best lives, driven by our values:

• We care deeply about the people we serve.
• We are better when we work together.
• Humility is a source of our strength.
• We bring joy to our work.
• We deliver on our promises.

Interwell Health is committed to diversity, equity, and inclusion. We welcome and include everyone, valuing differences and learning from each other. We encourage applications from all individuals, even if they do not meet every single qualification.

Learn more at www.interwellhealth.com.

Application Instructions

[Not Specified]

Important Notice Regarding Job Offers

It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. These offers are not associated with Interwell Health and may be fraudulent. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers, and a formal interview process.