Senior Medical Coding Specialist - Hospice & PACE Expert

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

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.