Synapticure
Clinical Documentation & Coding Specialist
Synapticure, Albuquerque, New Mexico, United States
About Synapticure
As a patient and caregiver‑founded company, Synapticure provides instant access to expert neurologists, cutting‑edge treatments and trials, and wraparound care coordination and behavioral health support through a virtual care platform. Partnering with providers and health plans, including CMS’s new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases such as Alzheimer’s, Parkinson’s, and ALS.
Our clinical and operational teams rely on accurate, high‑quality documentation to ensure exceptional patient care, regulatory compliance, and optimal performance in value‑based care programs. This role sits at the intersection of clinical reasoning, coding expertise, and documentation excellence.
The Role Synapticure is seeking an experienced
Clinical Documentation & Coding Specialist
with deep expertise in Hierarchical Condition Category (HCC) coding and strong clinical interpretation skills—particularly in neurology, dementia, psychiatry, and behavioral health.
In this role, you will execute the full lifecycle of chart preparation, diagnosis identification, documentation review, and accurate coding both before and after patient encounters to ensure providers have comprehensive, clinically supported information during visits and that Synapticure captures all relevant chronic conditions.
Job Duties – What You’ll Be Doing
Perform comprehensive chart preparation for dementia‑care patients by reviewing multi‑year clinical histories, consult notes, diagnostics, medication lists, and hospital records
Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review
Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits
Accurately assign ICD‑10‑CM codes in compliance with CMS HCC guidelines and official coding rules
Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record
Review post‑visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations
Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices
Provide feedback and education to providers on documentation needs for accurate HCC capture
Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows
Maintain high accuracy and productivity benchmarks in both chart prep and coding
Participate in internal and external audits and implement corrective actions as needed
Stay current with CMS, HHS, and payer‑specific risk adjustment updates, especially those impacting neurology and dementia care
Ensure CPT/HCPCS/ICD‑10 coding for encounter‑based services is accurate, compliant, and ready for timely claim submission
Requirements – What We Look For In You
High school diploma required; Associate’s or Bachelor’s degree in a health‑related field preferred
Active CPC or CCS certification (AAPC or AHIMA); CRC certification strongly preferred
2–3+ years of medical coding experience, including 1–2 years in HCC/risk adjustment
Demonstrated experience performing detailed pre‑visit chart preparation
Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred)
Strong understanding of ICD‑10‑CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles
Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps
Excellent communication skills for provider interaction and compliant query writing
Proficiency with coding software, EHR platforms, and technology tools
Ability to work independently, maintain accuracy under volume, and meet tight deadlines
Preferred Qualifications
Experience with multiple payer HCC methodologies (CMS RAF, ACA HHS, MA, etc.)
Knowledge of CPT and HCPCS coding rules
Experience in managed care, value‑based care programs, or large health systems
Advanced clinical literacy in neurology and dementia‑related documentation patterns
Experience navigating multiple EHR systems and data workflows
Strong critical‑thinking and pattern‑recognition skills for identifying clinical clues and documentation opportunities
Company Values
Relentless focus on patients and caregivers
Embody the spirit and humanity of those living with neurodegenerative disease
Seek to understand, and stay curious
Embrace the opportunity, acting with urgency and intention toward our mission
Benefits
Competitive salary based on experience
Comprehensive medical, dental, and vision coverage
401(k) plan with employer match
Remote‑first work environment with home office stipend
Generous paid time off and sick leave
Professional development and career growth opportunities
We May Use AI Tools We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans.
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Our clinical and operational teams rely on accurate, high‑quality documentation to ensure exceptional patient care, regulatory compliance, and optimal performance in value‑based care programs. This role sits at the intersection of clinical reasoning, coding expertise, and documentation excellence.
The Role Synapticure is seeking an experienced
Clinical Documentation & Coding Specialist
with deep expertise in Hierarchical Condition Category (HCC) coding and strong clinical interpretation skills—particularly in neurology, dementia, psychiatry, and behavioral health.
In this role, you will execute the full lifecycle of chart preparation, diagnosis identification, documentation review, and accurate coding both before and after patient encounters to ensure providers have comprehensive, clinically supported information during visits and that Synapticure captures all relevant chronic conditions.
Job Duties – What You’ll Be Doing
Perform comprehensive chart preparation for dementia‑care patients by reviewing multi‑year clinical histories, consult notes, diagnostics, medication lists, and hospital records
Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review
Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits
Accurately assign ICD‑10‑CM codes in compliance with CMS HCC guidelines and official coding rules
Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record
Review post‑visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations
Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices
Provide feedback and education to providers on documentation needs for accurate HCC capture
Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows
Maintain high accuracy and productivity benchmarks in both chart prep and coding
Participate in internal and external audits and implement corrective actions as needed
Stay current with CMS, HHS, and payer‑specific risk adjustment updates, especially those impacting neurology and dementia care
Ensure CPT/HCPCS/ICD‑10 coding for encounter‑based services is accurate, compliant, and ready for timely claim submission
Requirements – What We Look For In You
High school diploma required; Associate’s or Bachelor’s degree in a health‑related field preferred
Active CPC or CCS certification (AAPC or AHIMA); CRC certification strongly preferred
2–3+ years of medical coding experience, including 1–2 years in HCC/risk adjustment
Demonstrated experience performing detailed pre‑visit chart preparation
Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred)
Strong understanding of ICD‑10‑CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles
Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps
Excellent communication skills for provider interaction and compliant query writing
Proficiency with coding software, EHR platforms, and technology tools
Ability to work independently, maintain accuracy under volume, and meet tight deadlines
Preferred Qualifications
Experience with multiple payer HCC methodologies (CMS RAF, ACA HHS, MA, etc.)
Knowledge of CPT and HCPCS coding rules
Experience in managed care, value‑based care programs, or large health systems
Advanced clinical literacy in neurology and dementia‑related documentation patterns
Experience navigating multiple EHR systems and data workflows
Strong critical‑thinking and pattern‑recognition skills for identifying clinical clues and documentation opportunities
Company Values
Relentless focus on patients and caregivers
Embody the spirit and humanity of those living with neurodegenerative disease
Seek to understand, and stay curious
Embrace the opportunity, acting with urgency and intention toward our mission
Benefits
Competitive salary based on experience
Comprehensive medical, dental, and vision coverage
401(k) plan with employer match
Remote‑first work environment with home office stipend
Generous paid time off and sick leave
Professional development and career growth opportunities
We May Use AI Tools We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans.
#J-18808-Ljbffr