Senior Medical Coding Specialist — Hospice/PACE Expert

Care Synergy Network; Denver (CO); On-site; USD 71,000 - 84,000; Full time

Benefits offered by this job

Health insurance

PTO 18 days first year

Education reimbursement

401(k) employer match

Paid Holidays

Job summary

Care Synergy is seeking an Enterprise Medical Coding Specialist to translate clinical documentation into precise ICD-10-CM codes across Hospice, Palliative Care, and PACE services. You will partner with clinical leaders, HIM, Compliance, and Revenue Cycle teams to improve documentation practices and regulatory compliance.

The role emphasizes auditing, education, and coding accuracy within a mission‑driven nonprofit network that serves Colorado communities across Front Range.

Qualifications

• High school diploma or equivalent.
• Current CCS, CPC, or CCS-P credential.
• Minimum three years of professional medical coding experience.
• Strong knowledge of ICD-10-CM coding guidelines and documentation requirements.
• Experience reviewing electronic medical records and assigning accurate diagnosis codes.
• Understanding of Medicare coding and documentation requirements.

Responsibilities

• Review clinical documentation and assign accurate ICD-10-CM codes for Hospice, Palliative Care, and PACE services.
• Ensure coding reflects documented diagnoses and complies with CMS, payer, and applicable regulatory requirements.
• Support hospice coding, including admissions, recertifications, and diagnosis updates.
• Review palliative care encounters and apply CPT and HCPCS codes where applicable.
• Support PACE diagnosis coding, including Medicare risk adjustment and HCC requirements.
• Collaborate with physicians, nurse practitioners, and clinical teams to clarify documentation and resolve coding discrepancies.
• Identify documentation gaps and coding trends to improve accuracy.
• Collaborate with Revenue Cycle to resolve coding-related claim edits, denials, and reimbursement concerns.
• Participate in coding audits and quality reviews.

Skills

Analytical skills

Attention to detail

Team collaboration

Effective communication

Education

High school diploma or equivalent

Associate degree in Health Information Management or Health Information Technology

Tools

EHR systems

Coding software

Job description

Care Synergy is seeking an Enterprise Medical Coding Specialist to translate clinical documentation into precise ICD-10-CM codes across Hospice, Palliative Care, and PACE services. You will partner with clinical leaders, HIM, Compliance, and Revenue Cycle teams to improve documentation practices and regulatory compliance.

The role emphasizes auditing, education, and coding accuracy within a mission‑driven nonprofit network that serves Colorado communities across Front Range.