3225-specialist- Clinical Informatics Coder

Interacts with Analytics and Customer Success teams to help develop and validate NLP tools for clinical coding and documentation.
- Understanding of medical terminologies (RxNorm, LOINC, SNOMED, CPT, ICD-10-CM, CPT, HCPCS, etc.)
- Understanding of body systems/anatomy, physiology and concepts of disease processes.
- Hands-on experience with value set authoring tools (e.g., VSAC, Trifolia, FHIR terminology services) is preferable.
- Knowledge of HL7 FHIR terminology resources and value set binding methodologies
- Deep understanding of clinical workflows, EHRs, and clinical documentation guidelines for medical coding..
- Experience using clinical data and analytics to help develop new solutions to existing healthcare problems.

**Key Responsibilities**

1. ValueSet Evaluation & Maintenance:

- Validate ValueSets for accuracy and alignment with payer criteria
- Identify missing or incorrect codes that impact rule logic

2. Authoring & Version Control
- Create and manage ValueSets
- Maintain audit logs and track updates to keep rules current

3. Clinical Coding & Terminology Expertise
- Serve as the coding expert for SNOMED, LOINC, CPT, ICD-10-CM
- Translate clinical guidelines into accurate code sets

4. Collaboration with Product & Engineering
- Prioritize rule development with product and clinical teams
- Ensure proper ValueSet binding and participate in QA reviews

5. Data Quality & Model Support
- Review EHR data to confirm ValueSet effectiveness
- Identify and correct data mismatches or terminology gaps

6. Scalability & Coverage Expansion
- Build reusable ValueSet templates for scalable rule creation
- Support expansion across CPTs, payers, and clinical domains

**Requirements**:

- Bachelor’s Degree in Health Information Administration and two years of medical coding experience; or four years as a medical coder.
- Registered Health Information Technician or Administrator (RHIT/RHIA) or Certified Professional Coder (primary care coding experience preferred).
- AAPC/AHIMA or equivalent certification in medical coding will be preferable..
- Must maintain current coding credentials. Minimum of 3-5 years’ experience in risk adjustment coding in lieu of certificate.

**Benefits**

**We offer competitive benefits to set you up for success in and outside of work.**

**Here’s What We Offer**
- Generous Leaves: Enjoy generous leave benefits of up to 40 days.
- Parental Leave: Leverage one of industry's best parental leave policies to spend time with your new addition.
- Sabbatical: Want to focus on skill development, pursue an academic career, or just take a break? We've got you covered.
- Health Insurance: We offer comprehensive health insurance to support you and your family, covering medical expenses related to illness, disease, or injury. Extending support to the family members who matter most.
- Care Program: Whether it’s a celebration or a time of need, we’ve got you covered with care vouchers to mark major life events. Through our Care Vouchers program, employees receive thoughtful gestures for significant personal milestones and moments of need.
- Financial Assistance: Life happens, and when it does, we’re here to help. Our financial assistance policy offers support through salary advances and personal loans for genuine personal needs, ensuring help is there when you need it most.

Innovaccer is an equal-opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.

**Disclaimer**:
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