Medical Coding Specialist

DaMar Staffing; Holland (MI); On-site; USD 66,676,000 - 99,876,000; Full time

Job summary

Holland Hospital in Michigan is seeking a Coordinator to support HCC coding risk adjustment initiatives across value-based care contracts. You will prepare medical records, review documentation, and educate providers to optimize HCC capture and documentation integrity.

The role requires CRC/CPC certification, strong communication, and collaboration with clinical teams. Full-time, weekday schedule, with a wage range of $23.30–$34.95 per hour.

Qualifications

• High school diploma/GED or higher education.
• Certified Professional Coder (C-CPC) required or within 12 months.
• Clinical documentation review & risk adjustment coding experience preferred.
• Excellent communication and collaboration with providers and stakeholders.

Responsibilities

• Prepare and manage risk adjustment visit workflows and scheduling.
• Perform pre-visit chart reviews to validate ICD-10-CM diagnoses.
• Conduct post-visit documentation analysis for ICD-10-CM coding accuracy.
• Maintain knowledge of CMS risk adjustment regulations and HCC models.
• Audit, report, and monitor risk adjustment performance with leadership.

Skills

Risk adjustment coding

Provider education

Communication skills

C-CPC certification

Job description

CoordinatorThe

The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review, ensuring accurate capture of diagnosis codes, and educating providers. This role partners closely with providers, clinical staff, coding teams and operational leadership to optimize HCC capture and improve documentation integrity.

Qualifications:

Professional coding certification; Certified Risk Adjustment Coder (CRC) strongly preferred or required within 12 months of hire. Experience with risk adjustment programs preferred. Prior provider education or clinical collaboration experience preferred. Excellent communication skills for provider education and stakeholder collaboration.

Employment Type:

Full Time

Shift:

Mon-Thrs- 8am-4:30pm Fri- 8a-12p

Weekly Scheduled Hours:

36

Wage Range:

$23.30 - $34.95 per hour

Weekend Requirements:

NA

Requirements:

- High school diploma/GED or higher education-Certified Professional Coder (C-CPC)Clinical Documentation Review & Risk Adjustment CodingPrepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis summaries, and assisting with scheduling coordination.Conduct comprehensive pre-visit chart reviews to identify and validate ICD-10-CM diagnoses that accurately represent each patient's health status.Perform post-visit documentation analysis to ensure proper ICD-10-CM code assignment, diagnosis specificity, and compliance with MEAT (Monitor, Evaluate, Assess, Treat) criteria.Maintain up-to-date knowledge of CMS risk adjustment regulations, HCC models, and clinical documentation and coding standards.Support organizational value-based care goals by collaborating with Manager, Quality and clinical teams to ensure compliant risk adjustment documentation.Provider Engagement, Education & Clinical SupportServe as a clinical documentation and coding subject matter expert, supporting providers in achieving compliant and accurate risk adjustment practices.Deliver ongoing education and feedback to providers and coders regarding documentation standards, diagnosis specificity, and optimal risk adjustment coding principles.Identify documentation gaps or inconsistencies and communicate findings through structured, actionable feedback, including formalized documentation queries as needed.Promote a culture of documentation excellence that supports quality outcomes, operational performance, and compliant value-based care delivery.Audit, Reporting & Performance MonitoringConduct routine and targeted chart audits to assess documentation quality, coding accuracy, and HCC recapture performance.Track, analyze, and report key risk adjustment performance indicators, including recapture rates, suspect condition closure, documentation accuracy, and provider-level trends.Collaborate with operational leaders to integrate risk adjustment best practices into existing clinical workflows and identify opportunities for process improvement.Participate in quality assurance initiatives, report findings to leadership, and support the development of corrective action plans or workflow enhancements.

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy