Clinical Documentation Integrity Specialist

Responsibilities

• Apply expert coding judgment using ICD-10 guidelines to validate accurate diagnosis codes
• Support clinical care teams through comprehensive pre-visit and post-encounter chart reviews
• Abstract clinical information and diagnostic codes from hospital claims, radiology reports, and specialist notes
• Analyze MRA reports to surface unreported or unresolved conditions
• Query providers for clarification or additional documentation
• Educate clinicians on HCC coding and documentation best practices
• Review system-generated reports to correct or complete missing data
• Communicate audit findings clearly to providers and internal teams
• Identify process gaps and recommend solutions to improve workflows

Requirements

• 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 with prospective and concurrent workflows
• Strong knowledge of medical terminology, anatomy, physiology, and pharmacology
• Proficiency with MS Office (Excel, PowerPoint, Word)

Preferred Qualifications

• Certified Risk Adjustment Coder (CRC) credential
• Previous MRA experience supporting a primary care practice
• Experience educating providers on HCC coding and documentation

Benefits

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

About the Company

Greenbrook Medical is building the new standard in primary care, delivering high-touch, relationship-based care through neighborhood clinics for seniors. Rooted in Tampa Bay and partnered with Tampa General Hospital, the company focuses on improving outcomes and lowering the total cost of care through clinical excellence and disciplined execution.