Responsibilities
- Examine and assess medical records to maintain clinical precision within required timeframes
- Detect areas for enhancement in clinical documentation and diagnostic models
- Comprehend and implement coding standards and regulations to correctly assign codes for diagnoses and procedures
- Engage in continuous education and skill development to remain updated on documentation and coding practices
- Support process improvement initiatives to refine documentation methods and promote effective healthcare delivery
Requirements
- At least 2 years of experience in healthcare, ideally in a clinical environment and a clinical documentation or coding role
- Practical knowledge of medical terminology, anatomy and physiology, and healthcare documentation standards
- Bachelor's degree in health information management, nursing, or a related medical field
Nice to Have
- Professional certification such as Certified Clinical Documentation Specialist (CCDS) or Certified Professional Coder (CPC) is advantageous but not mandatory
Benefits
- Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
- Paid Parental Leave – Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
- Remote-First Team – Work from anywhere in the U.S.
- Unlimited PTO & 11 Holidays – So you can relax and recharge.
- 401(k) with Traditional & Roth Options – Tax-advantaged retirement savings through Fidelity with a 4% match.
- Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.
- Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.
Work Arrangement
Remote-first team; work from anywhere in the U.S.