Clinical Documentation Integrity Specialist (Coder)

Clinical Documentation Integrity Specialist (Coder)

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

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.

What You'll Do

• 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

About You

• 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

You Stand Out If:

• 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

Why You'll Love Working Here

Make An Impact Every Day

Be part of a mission-driven team transforming primary care for seniors. Your work directly supports better outcomes, better coordination, and better experiences for some of the most vulnerable patients in healthcare.

Work That Actually Matters

We're not a volume-driven system, we're accountable for outcomes. That means your work directly contributes to quality care, patient satisfaction, and meaningful improvements in how healthcare is delivered.

Build And Grow With Us

We're building more than a company, we're building careers. As we expand, you'll have opportunities to grow your skills and take on new challenges.

Strong, Transparent Compensation & 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

We believe in fair, equitable pay that reflects your experience and impact.

Show Us Your Excellence

At Greenbrook Medical, excellence shows up in the details. Your resume is our first opportunity to understand your experience and it also reflects how you communicate, organize information, and approach your work.

Please submit a polished resume that demonstrates professionalism and attention to detail. We consider both what you've done and how you present it, including clarity, formatting, grammar, and overall organization.

Our Selection Process

Application → Initial interview → Skills assessment → Hiring manager interview → Values interview → References

Equal Employment Opportunity and Commitment to Diversity

At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost.

We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process.