[Hiring] Clinical Documentation Integrity Specialist @TGH Senior Center Powered by Greenbrook Medical

Role Description

As a CDI Coding Specialist, you ensure our documentation accurately reflects the complexity of the seniors we serve. Your work strengthens clinical accuracy, supports high‑quality care, and helps providers deliver the right care at the right time. This role is fast‑paced, detail‑driven, and deeply collaborative. You’ll review charts, validate documentation, and partner with providers to uphold the highest standards of coding excellence. If you thrive in a mission‑driven environment that values teamwork, integrity, and accountability, you’ll feel right at home here.

Location: Remote within the U.S.; preference for those located in Eastern or Central time zones.

Office Hours: Monday–Friday, 8am–5pm

What You’ll Do

• Master the chart, start to finish
• Apply expert coding judgment using ICD‑10 guidelines to validate accurate diagnosis codes in medical record documentation
• Support the clinical care teams through completion of comprehensive pre-visit and post-encounter chart reviews
• Review documentation to ensure every submitted code is fully supported
• Abstract relevant clinical information and diagnostic codes from hospital claims, radiology reports, and specialist notes
• Strengthen documentation accuracy
• Analyze MRA reports to surface unreported or unresolved conditions
• Query providers when clarification or additional documentation is needed
• Educate clinicians on HCC coding and documentation best practices
• Maintain compliance and protect patient confidentiality
• Keep data clean and workflows tight
• Review system‑generated reports to correct or complete missing data
• Communicate audit findings clearly and constructively to providers and internal teams
• Collaborate across teams to ensure seamless workflows and shared accountability
• Support timely amendments through ongoing review and query processes
• Improve the work over time
• Identify process gaps and recommend solutions
• Enhance coding knowledge through continuous learning
• Contribute to special projects and departmental initiatives as assigned
• Participate in team meetings to stay aligned and drive improvement

What Success Looks Like

• Chart review accuracy consistently at 95%+
• Chart review production standards will be maintained with precision and efficiency
• Clear, timely communication with providers and internal stakeholders
• Strong alignment with coding guidelines, compliance standards, and organizational goals
• Meaningful contributions to documentation quality and risk adjustment performance

Qualifications

• Professional Coder (CPC) Certification
• 3+ years of experience in CMS-HCC risk adjustment or HCC coding
• 3+ years of ICD‑10 coding experience
• 1+ year of HEDIS/Stars experience
• Experience working in both prospective and concurrent workflows
• Strong knowledge of medical terminology, anatomy, physiology, disease processes, and pharmacology
• Proficiency with MS Office (Excel, PowerPoint, Word)
• Clear, professional communication and the ability to defend coding decisions
• Strong organization, attention to detail, and comfort working in a fast‑paced, evolving environment
• A mindset grounded in our core values: Heart, Excellence, Accountability, Resilience, and Teamwork

Requirements

• You hold a Certified Risk Adjustment Coder (CRC) credential
• You have previous MRA experience supporting a primary care practice
• You have experience educating providers on HCC coding and documentation
• You proactively identify documentation gaps and recommend improvements
• You thrive in collaborative, mission‑driven teams and look for ways to strengthen workflows

Benefits

• $33-$36 per hour, based on experience and qualifications
• Generous annual performance bonus
• Health, dental, and vision insurance
• Paid time off + paid sick time
• 401(k) with company match