Job Description:

• Gather and organize existing medical records and approved clinical documentation for provider review
• Prepare provider-facing documentation packets and templates before scheduled Participant visits
• Review assigned work queues and retrieve approved reports and supporting documentation
• Organize hospital, emergency department, skilled nursing facility, specialist, laboratory, imaging, medication, vital sign, assessment, and care plan information
• Ensure documentation materials are complete, factual, organized, and available within established timelines
• Track missing records and follow up through approved channels
• Maintain accurate work queues, preparation trackers, and provider visit readiness logs
• Track documentation status and route items to the appropriate provider or CDI Nurse
• Collaborate with providers, Medical Records, Clinical Operations, CDI Nurses, scheduling, and other support teams
• Escalate unclear, inconsistent, complex, or audit-sensitive information to the appropriate clinical leader
• Use approved templates and neutral language when preparing documentation support materials
• Assist with follow-up tracking after provider visits
• Participate in quality improvement, workflow development, and training activities
• Maintain Participant confidentiality and follow HIPAA and organizational policies
• Perform other duties as assigned

Requirements:

• High School Diploma or GED required
• Previous medical coding experience with a strong CC focus required
• Experience reviewing provider charts and understanding provider documentation practices required
• Experience working with electronic medical records required
• Organized, dependable, and highly detail-oriented
• Strong understanding of medical coding with a CC-focused approach
• Understands provider charting and how clinical conditions are appropriately documented in the medical record
• Comfortable reviewing provider documentation and identifying missing or incomplete information for appropriate review
• Comfortable working with confidential healthcare information
• Able to manage multiple priorities, deadlines, and work queues
• Strong written and verbal communication skills
• Able to work independently while also collaborating with a larger clinical team
• Comfortable using electronic medical records and learning new technology
• Able to recognize when information needs to be escalated to a provider, CDI Nurse, or clinical leader
• Understands the importance of maintaining neutral, factual documentation
• Strong computer skills, including Microsoft Office, Outlook, Excel, and Teams
• CPR and First Aid Certification (or willingness to obtain after hire, we’ll provide the training!)
• Medical Assistant training, diploma, certificate, or equivalent healthcare administrative or clinical support experience preferred
• Experience in medical records, healthcare administration, clinical documentation, or provider support preferred
• Experience working with the frail and elderly population, PACE, geriatrics, or value-based care is a plus
• Must be able to sit and work at a computer for extended periods
• Must be able to remain focused and attentive throughout the workday
• Must be able to use standard office and computer equipment
• Employment contingent upon successful completion of required background checks, health and safety screenings, and any clearances required for healthcare programs

Benefits:

• 9 Paid Holidays
• PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees)
• Medical, Dental, & Vision
• Free Life and AD&D Insurance Plan
• Health Savings and Flexible Spending Accounts
• Short Term Disability Insurance
• Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents
• Paid Parental Leave
• Tuition Reimbursement and Paid Training Opportunities
• Retirement Plan with company annual match
• Mileage Reimbursement at annual IRS rate as applicable
• Training, mentorship, and career development programs