Senior Medical Coding Specialist

Colorado PACE; Denver (CO); On-site; USD 71,000 - 84,000; Full time

Benefits offered by this job

Health coverage

HSA funding

PTO 18 days

Paid holidays + floating holiday

401(k) with employer match

Life & AD&D insurance

Education reimbursement

Early wage access

Leadership development

Job summary

Care Synergy is seeking a Senior Medical Coding Specialist to translate clinical documentation into precise ICD-10-CM codes across Hospice, Palliative Care, and PACE services. You will work with physicians, HIM, and Revenue Cycle teams to improve accuracy and reimbursement.

The role emphasizes CMS/payer compliance, documentation quality improvements, and participation in audits, within a Colorado Front Range nonprofit setting committed to high-quality care.

Qualifications

• High school diploma or equivalent.
• CCS/CPC/CCS-P credential.
• Minimum 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, attention to detail, and ability to manage competing priorities.
• Effective communication skills and a collaborative approach to working with clinical and administrative teams.

Responsibilities

• Review clinical documentation and assign accurate ICD-10-CM diagnosis codes for Hospice, Palliative Care, and PACE services.
• Ensure coding accurately reflects documented diagnoses and complies with CMS, payer, and applicable regulatory requirements.
• Support hospice coding, including 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.
• Serve as a trusted coding resource, helping educate clinical teams on documentation and coding best practices.

Skills

Analytical skills

Attention to detail

Communication

Collaboration

Education

High school diploma or equivalent

Associate degree in Health Information Management or related field

Tools

EHR systems

Job description

Join Care Synergy and be part of a mission-driven organization dedicated to elevating care, advancing wellness, and strengthening the communities we serve. Our collaborative, supportive team works across hospice, palliative care, PACE, CAPABLE, and community-based wellness services to advance excellence for patients, participants, families, and those who care for them—all while offering excellent benefits and meaningful opportunities to grow and make an impact.

Care Synergy is looking for a Senior Medical Coding Specialist.

STATUS: Full-time

SCHEDULE: Monday-Friday; 8am-5pm

PAY RANGE: $71,489 - $83,990

SUPPLEMENTAL PAY: Based on position, schedule and/or availability: Paid Mileage/Shift Differentials/Stipends/Overtime

CULTURE, BENEFITS AND PERKS:

• We value engagement, community, and outreach initiatives and know it matters for our team members and our patients. We provide welcoming and supportive care to our patients and a work environment where all team members feel respected and valued.
• We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
• Employer pays over 90% of employee medical premium in some plans
• Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
• Healthcare Benefits are effective on the 1st of the month following 30 days of employment
• Extensive Paid Time Off (PTO/Vacation Pay): 18 days in the first year for FT team members
• Seven Paid Holidays with 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
• Education Reimbursement Program
• Clinical Career Ladders
• Certification Pay
• Team Member Service Awards
• Early Wage Access
• Legal and Identity Protection
• Robust Leadership Development Training Programs

WHY CARE SYNERGY?

Care Synergy is a Colorado-based nonprofit healthcare organization providing shared services and specialized expertise to Affiliates delivering compassionate care throughout the Front Range.

Our Affiliates serve individuals and families through hospice, palliative care, PACE, and other community-based programs. Behind that care is a dedicated team of professionals working together to strengthen quality, compliance, and operational effectiveness.

At Care Synergy, your expertise matters. You'll be part of a collaborative organization where your work contributes to the financial sustainability and quality of programs that make a meaningful difference in our communities.

THE DIFFERENCE YOU’LL MAKE

As our Enterprise Medical Coding Specialist, you'll play an important role in ensuring clinical documentation is accurately translated into appropriate medical codes, supporting regulatory compliance, reliable reporting, and appropriate reimbursement.

You'll work across three distinct areas of healthcare, partnering with providers, clinical leaders, Health Information Management (HIM), Compliance, and Revenue Cycle teams to improve coding accuracy and strengthen documentation practices.

WHAT YOU’LLDO:

• Review clinical documentation and assign accurate ICD-10-CM diagnosis codes for Hospice, Palliative Care, and PACE services.
• Ensure coding accurately reflects documented diagnoses and complies with CMS, payer, and applicable regulatory requirements.
• Support hospice coding, including 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.
• Serve as a trusted coding resource, helping educate clinical teams on documentation and coding best practices.

WHAT YOU'RE GOING TO LOVE:

Meaningful work. Your expertise supports programs that care for individuals with serious illnesses, older adults, and families throughout Colorado.

Variety in your day. You'll work across Hospice, Palliative Care, and PACE, applying your knowledge to different clinical specialties and coding requirements.

Collaboration that matters. You'll partner with experienced clinical, compliance, HIM, and revenue cycle professionals who value accuracy, integrity, and teamwork.

An opportunity to make an impact. You'll help strengthen enterprise coding practices, improve documentation quality, and contribute to processes that support sustainable, high-quality care.

A mission-driven environment. You'll be part of a nonprofit healthcare organization where the work behind the scenes is just as important to our mission as the care delivered directly to patients and families.

WHAT YOU’LL NEED TO SUCCEED:

Required Qualifications:

• High school diploma or equivalent.
• Current Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Coding Specialist–Physician-based (CCS-P) credential.
• Minimum 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, attention to detail, and ability to manage competing priorities.
• Effective communication skills and a collaborative approach to working with clinical and administrative teams.

Preferred Qualifications

• 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.

Care Synergy is a network of mission driven, nonprofit healthcare organizations dedicated to caring for very ill, frail, and primarily elderly individuals by keeping them at home and out of the hospital while maximizing comfort, dignity, and quality of life.

The Care Synergy enterprise includes a group of collaborating nonprofit Affiliates across Colorado’s Front Range that share resources, expertise, and infrastructure to deliver high quality, compassionate care. Collectively, the enterprise generates approximately $100 million in annual revenue and serves thousands of individuals and families each year through hospice, home health, palliative care, CAPABLE, wellness, and PACE programs.

Across the Care Synergy network, the organizations provide significant community impact, including more than 7,000 hospice patients served annually, more than 2,000 palliative care patients, more than 355,000 hospice days of care each year, and more than $1.6 million in charitable care provided annually.

Care Synergy affiliated programs include The Denver Hospice, Pathways Hospice, Pikes Peak Hospice and Palliative Care, Colorado Visiting Nurse Association, CAPABLE, and Superior Medical Equipment, along with PACE programs including Colorado PACE and Pathways PACE.

Equal Opportunity Employer
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