Coding & Documentation Compliance Specialist (CPC/CPMA)

Shapely; Polska; Hybrid; PLN 214,000 - 321,000; Part time

Job summary

Shapely is seeking a remote Coding & Documentation Compliance Specialist to ensure documentation supports billing and maximize legitimate revenue. This independent contractor role focuses on hands-on coding audits, template creation, and education for clinicians and billing staff.

The position requires CPC/CCS-P credentials (CPMA preferred), 5+ years outpatient E/M coding with auditing experience, and deep knowledge of Medicare telehealth and MIPS requirements. US-based and ~15–20 hours/week.

Qualifications

• CPC (AAPC) or CCS-P (AHIMA) certification required.
• CPMA strongly preferred or equivalent chart-audit experience.
• Minimum 5 years coding outpatient E/M with direct auditing experience.
• Strong knowledge of Medicare telehealth rules.
• Experience with MIPS reporting and quality-measure documentation.
• US-based with strong Medicare experience.

Responsibilities

• Audit baseline documentation across encounters and deliver findings report with error rates by provider and service line.
• Run ongoing quarterly audits (10 charts per provider) plus focused service-line reviews.
• Perform 100% pre-bill review during new-code rollouts until error rate is under 5%.
• Place providers with >10% error rate on monthly review with targeted education.
• Evaluate the appropriateness of codes and define required documentation before billing.
• Write documentation guidance for clinical staff and billing team.
• Assist with MIPS success and suggest template improvements for accuracy.

Skills

Auditing experience

Medicare telehealth rules

MIPS reporting

Education

CPC (AAPC) or CCS-P (AHIMA)

CPMA certification preferred

Job description

Coding & Documentation Compliance Specialist (CPC/CPMA)

Shapely is transforming the weight loss industry through an innovative physician-led approach that makes weight loss care affordable for everyone. With evidence-based care, industry-leading support, and a seamless integrated app, we're pioneering a new approach toweight loss that helps patients achieve long-lasting, sustainable weight loss. We're steadfast in our mission to help millions of Americans along their weight loss journey. Join us in shaping a company that will help improve the most important thing in all of our lives: our health.

Job Description

This is a remote position.

Remote (US-based) · Independent contractor · ~15–20 hrs/week ongoing · Reports to the Senior Medical Director

About Shapely

Shapely is transforming the weight loss industry through an innovative physician-led approach that makes weight loss care affordable for everyone. With evidence-based care, industry-leading support, and a seamless integrated app, we help thousands of patients across California, Florida, New York, and Texas access GLP-1 therapies and comprehensive weight management, all covered by insurance, including Medicare. Most of our patients are over 65.

Our care model is longitudinal and includes MDs/DOs, NPs, PAs, and RDNs. We bill fee-for-service and also participate in MIPS.

The role

You'll be the person who makes sure what we document supports what we bill, and that we're capturing everything we legitimately earn. This is a hands-on coding and auditing role reporting to the Senior Medical Director — not a policy, billing-clerk, or general compliance position.

You'll work in two modes. Prospectively, you'll help us assess which codes are safe to use for a given visit type as well as what documentation needs to be present to use teh coe compliantly. Retrospectively, you'll audit charts to confirm the documentation holds up with high accuracy, and turn opportunities for improvement into templates, workflow fixes, and education.

What you'll do

Audit

Conduct a baseline documentation audit (10–20 charts per billing provider) across encounters, and deliver a findings report with error rates by provider and service line

Run ongoing quarterly audits (10 charts per provider) plus focused service-line reviews.

Perform 100% pre-bill review during new-code rollouts until the error rate is under 5%

Place any provider above a 10% error rate on monthly review with targeted education until they're back under threshold

Evaluate appropriateness of unused or underused codes for our care model and define the documentation each requires before we bill it

Write documentation guidance for our clinical staff and billing team.

MIPS

Assist with success with MIPS, including determining appropriate measures and ensuring our documentation exceeds requirements.

Provide suggestions on enhancing our templates to optimize accuracy and compliance with MIPS

Requirements

Required

CPC (AAPC) or CCS-P (AHIMA)

CPMA strongly preferred, or equivalent demonstrated chart-audit experience

5+ years coding outpatient E/M, with direct auditing experience

Strong knowledge of Medicare telehealth rules

Experience with MIPS reporting and quality-measure documentation

US-based, with strong Medicare experience

Nice to have

Obesity medicine, endocrinology, or primary care background

Prior work with OIG self-disclosure or payer audit response

Experience building documentation templates or clinician cheat-sheets