Senior Specialist, Coding

DaVita Kidney Care

. Acts as subject matter expert, lending guidance and offering solutions for government projects and initiatives related to Medicare risk adjustment coding .

Posted 10/30/2026full-timeRemote • United StatesSenior💰 $24 - $37 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicare risk adjustment coding, including proficiency in ICD-10, CPT, and HCC coding. Capable of conducting medical chart reviews and providing guidance to team members while ensuring compliance with coding requirements.

Highest-signal resume keywords

ICD-10 CodingCPT CodingHCC CodingCertified Professional Coder (CPC)Medicare Advantage Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingChart ReviewCoding GuidelinesEHR SystemsData Entry

Soft Skills

Analytical SkillsProblem-Solving SkillsOrganizational SkillsAttention to DetailConfidentiality Maintenance

Tools & Technologies

EPICMEDfxMS ExcelMS Word

Certifications & Qualifications

Certified Professional Coder (CPC)

Industry Keywords

Medicare Risk AdjustmentHealth Plan CodingFinancial AnalysisMedical Terminology

About the role

Key responsibilities & impact

Acts as subject matter expert, lending guidance and offering solutions for government projects and initiatives related to Medicare risk adjustment coding
Serves as a go-to resource for Teammates with less experience
Reviews provider notes to abstract, assign, and enter valid ICD-10, CPT, and HCPCS codes into the EHR platform (EPIC)
Performs medical chart reviews to identify and correct missed or erroneous HCC codes according to HCC coding requirements
Works with providers to gain clarification or provide feedback to resolve coding issues and associated problems
Enters charges into the practice management system (MEDfx)
Files electronic claims within 48–72 hours of entry
Performs other duties as assigned

Requirements

What you’ll need

Bachelor's Degree - strongly preferred
4 years’ of medical coding experience in a health plan
Knowledge of ICD-10, CPT, and HCC coding and reimbursement guidelines
Knowledge and understanding of Medicare Advantage contracts and/or financial analysis
Knowledge of medical terminology and Electronic Health Record (EHR) Systems
Proficiency in MS Excel and Word
Strong analytical and problem-solving skills
Strong organizational skills and attention to detail
Ability to maintain confidentiality of patient information
Ability to work quickly, accurately and independently
Certified Professional Coder (CPC) - strongly preferred

Benefits

Comp & perks

A "community first, company second" culture based on Core Values
Award-winning education and training across multiple career paths
Performance-based rewards based on stellar individual and team contributions
Comprehensive benefits package
Medical, dental, and vision coverage
401(k) match
Paid time off
PTO cash out
Family resources
EAP counseling sessions
Access to Headspace®
Backup child and elder care
Maternity/paternity leave
Professional development programs
On-demand virtual leadership and development courses through StarLearning