Senior Medical Coding Specialist

Care Synergy•Denver, CO

3d•Onsite

About The Position

Care Synergy is seeking a Senior Medical Coding Specialist to support accurate clinical coding across Hospice, Palliative Care, and PACE services. The role translates clinical documentation into appropriate medical codes to support regulatory compliance, reliable reporting, and appropriate reimbursement. It works with providers, clinical leaders, Health Information Management, Compliance, and Revenue Cycle teams to improve coding accuracy and documentation practices. The specialist reviews clinical documentation and assigns diagnosis and encounter codes, supports coding audits and quality reviews, resolves coding discrepancies and claim-related issues, and serves as a resource for clinical teams. Care Synergy is a Colorado-based nonprofit healthcare organization that provides shared services and specialized expertise to affiliated programs across the Front Range.

Requirements

High school diploma or equivalent.
Current Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Coding Specialist–Physician-based (CCS-P) credential.
At least three years of professional medical coding experience.
Strong knowledge of ICD-10-CM coding guidelines, medical terminology, and clinical documentation requirements.
Experience reviewing electronic medical records and assigning accurate diagnosis codes.
Understanding of Medicare coding and documentation requirements.
Strong analytical skills and attention to detail, with the ability to manage competing priorities.
Effective communication skills and a collaborative approach to working with clinical and administrative teams.

Nice To Haves

Associate degree in Health Information Management, Health Information Technology, or a related field.
Experience with hospice, palliative care, PACE, or other community-based healthcare services.
Knowledge of Medicare risk adjustment and HCC coding.
Experience with professional services coding, including CPT and HCPCS.
Experience supporting coding audits, documentation improvement, or coding-related denial resolution.
Familiarity with electronic health record systems and coding software.

Responsibilities

Review clinical documentation and assign accurate ICD-10-CM diagnosis codes for Hospice, Palliative Care, and PACE services.
Ensure coding reflects documented diagnoses and complies with CMS, payer, and applicable regulatory requirements.
Support hospice coding for principal and additional diagnoses, admissions, recertifications, and diagnosis updates.
Review palliative care encounters and apply appropriate diagnosis and encounter coding, including CPT and HCPCS codes when applicable to assigned professional services.
Support PACE diagnosis coding, including Medicare risk adjustment and hierarchical condition category (HCC) requirements.
Partner with physicians, nurse practitioners, and clinical teams to clarify documentation and resolve coding discrepancies.
Identify documentation gaps, coding trends, and opportunities to improve accuracy and consistency.
Collaborate with Revenue Cycle to resolve coding-related claim edits, denials, and reimbursement concerns.
Participate in coding audits, quality reviews, and process improvement initiatives.
Educate clinical teams on documentation and coding best practices as a trusted coding resource.

Benefits

Employer pays over 90% of employee medical premium in some plans.
Health Savings Account (HSA) with employer funding: $1,000 for single coverage and $2,000 for family coverage.
Healthcare benefits effective on the first of the month following 30 days of employment.
Paid time off/vacation pay: 18 days in the first year for full-time team members.
Seven paid holidays and an additional floating holiday.
403(b) retirement plan with employer match: 50% match up to 8% of total compensation.
Company-paid life and AD&D insurance.
Career and logo wear.
Education reimbursement program.
Clinical career ladders.
Certification pay.
Team member referral program.
Team member service awards.
Early wage access.
Legal and identity protection.
Leadership development training programs.
Supplemental pay may include paid mileage, shift differentials, stipends, or overtime, based on position, schedule, and/or availability.
Two free, confidential benefit programs designed to provide solutions to logistical and financial problems that arise in life.