Firmenlogo

Clinical Documentation & Coding Specialist presso Synapticure

Synapticure · Chicago, Stati Uniti d'America · Remote

Microsoft Excel

CMS

Candidarsi ora

Description

About Synapticure
As a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases such as Alzheimer’s, Parkinson’s, and ALS.
Our clinical and operational teams rely on accurate, high-quality documentation to ensure exceptional patient care, regulatory compliance, and optimal performance in value-based care programs. This role sits at the intersection of clinical reasoning, coding expertise, and documentation excellence.

The Role
Synapticure is seeking an experienced Clinical Documentation & Coding Specialist with deep expertise in Hierarchical Condition Category (HCC) coding and strong clinical interpretation skills—particularly in neurology, dementia, psychiatry, and behavioral health.
In this role, you will execute the full lifecycle of chart preparation, diagnosis identification, documentation review, and accurate coding both before and after patient encounters. Your work ensures that providers have comprehensive, clinically supported information during visits and that Synapticure captures all relevant chronic conditions to support high-quality care and value-based performance.
The ideal candidate is meticulous, clinically fluent, and highly organized—able to synthesize complex documentation from multiple sources and apply CMS risk adjustment guidelines with precision. You must be comfortable working independently, applying feedback consistently, and operating in a fast-paced, highly regulated environment.


Job Duties – What you’ll be doing

  • Perform comprehensive chart preparation for dementia-care patients by reviewing multi-year clinical histories, consult notes, diagnostics, medication lists, and hospital records.
  • Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review.
  • Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits.
  • Accurately assign ICD-10-CM codes in compliance with CMS HCC guidelines and official coding rules.
  • Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record.
  • Review post-visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations.
  • Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices.
  • Provide feedback and education to providers on documentation needs for accurate HCC capture.
  • Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows.
  • Maintain high accuracy and productivity benchmarks in both chart prep and coding.
  • Participate in internal and external audits and implement corrective actions as needed.
  • Stay current with CMS, HHS, and payer-specific risk adjustment updates, especially those impacting neurology and dementia care.
  • Ensure CPT/HCPCS/ICD-10 coding for encounter-based services is accurate, compliant, and ready for timely claim submission.

    • Requirements – What we look for in you

  • High school diploma required; Associate’s or Bachelor’s degree in a health-related field preferred.
  • Active CPC or CCS certification (AAPC or AHIMA).
  • CRC certification strongly preferred.
  • 2–3+ years of medical coding experience, including 1–2 years in HCC/risk adjustment.
  • Demonstrated experience performing detailed pre-visit chart preparation.
  • Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred).
  • Strong understanding of ICD-10-CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles.
  • Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps.
  • Excellent communication skills for provider interaction and compliant query writing.
  • Proficiency with coding software, EHR platforms, and technology tools.
  • Ability to work independently, maintain accuracy under volume, and meet tight deadlines.

    • Preferred Qualifications

  • Experience with multiple payer HCC methodologies (CMS RAF, ACA HHS, MA, etc.).
  • Knowledge of CPT and HCPCS coding rules.
  • Experience in managed care, value-based care programs, or large health systems.
  • Advanced clinical literacy in neurology and dementia-related documentation patterns.
  • Experience navigating multiple EHR systems and data workflows.
  • Strong critical thinking and pattern-recognition skills for identifying clinical clues and documentation opportunities.

    • We’re founded by a patient and caregiver, and we’re a remote-first company. This means our values are at the heart of everything we do, and while we’re located all across the country, these principles tie us together around a common identity:

  • Relentless focus on patients and caregivers. We provide exceptional experiences for the patients we serve and put them first in all decisions.
  • Embody the spirit and humanity of those living with neurodegenerative disease. With empathy, compassion, kindness, and hope, we honor the seriousness of our patients’ circumstances.
  • Seek to understand, and stay curious. We listen first—with authenticity, humility, and a commitment to continual learning.
  • Embrace the opportunity. We act with urgency and intention toward our mission.

    • Additional Information

    Competitive salary based on experience
    Comprehensive medical, dental, and vision coverage
    401(k) plan with employer match
    Remote-first work environment with home office stipend
    Generous paid time off and sick leave
    Professional development and career growth opportunities
    Candidarsi ora

    Altri lavori

    Firmenlogo

    Repair Technician: Roofing/Masonry

    Bonedry · Dayton, Stati Uniti d'America

    Firmenlogo

    Project Manager

    Cdcfoundation · Georgia, Stati Uniti d'America

    Firmenlogo

    Order Fulfillment Specialist - Socal (1pm to 9:30pm)

    Kivaconfections · Van Nuys, Stati Uniti d'America