SoTalent ยท 1 hour ago
Clinical Coding Analyst
United States
Full-time
Remote
Senior Level
5+ years expSoTalent is seeking an experienced clinical coding professional to provide second-level oversight of risk adjustment activities. The role focuses on ensuring coding accuracy, compliance, and documentation integrity while collaborating with coding teams and reviewing medical records.
Staffing & Recruiting
Hiring Manager
Praveen Rao
Responsibilities
Review medical records to validate diagnosis coding aligned with ICD-10, HCCs, and regulatory guidelines
Identify documentation gaps and recommend improvements to maintain compliance and data integrity
Apply CMS risk adjustment standards and industry best practices to ensure accurate coding
Collaborate with coding teams and stakeholders to enhance documentation quality and compliance
Conduct gap analyses and provide clinical recommendations for improvement
Support remediation efforts for non-compliance issues through root cause analysis and corrective action planning
Offer expert guidance on coding requirements, documentation improvement, and risk mitigation strategies
Qualification
Required
High School Diploma or GED required
Minimum 5 years of professional coding experience in hospital or physician settings
LVN, LPN, or RN required
CPC or CCS certification required
Preferred
Bachelor's degree in Nursing, Healthcare Management, or related field preferred
managed care experience preferred
CRC, NP, or PA certification preferred
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Company
SoTalent
At SoTechTalent, we specialise in connecting forward-thinking tech companies with world-class talent.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase