Coding & Documentation Compliance Specialist, CPC/CPMA

Job not on LinkedIn

🔥 12 hours ago

🏄 California, Florida, +2 more states – Remote

🏄 California – Remote 🐊 Florida – Remote 🗽 New York – Remote 🤠 Texas – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🚔 Compliance

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Shapely

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

💼 Consulting

🍽️ Food & Beverage

🏥 Healthcare

Consulting • Food & Beverage • Healthcare

Shapely is a telehealth company focused on providing affordable weight loss solutions guided by medical experts. They offer personalized weight loss programs that include access to expert consultations, prescription medications, and ongoing support through their app. Shapely's approach emphasizes a whole-person view of weight loss, aiming to improve overall health and well-being.

📋 Description

• Conduct a baseline documentation audit of 10–20 charts per billing provider across encounters • Deliver findings reports with error rates by provider and service line • Run ongoing quarterly audits of 10 charts per provider and focused service-line reviews • Perform 100% pre-bill review during new-code rollouts until the error rate is under 5% • Place providers above a 10% error rate on monthly review with targeted education until they are below the threshold • Evaluate appropriateness of unused or underused codes for the care model • Define documentation required before codes can be billed compliantly • Write documentation guidance for clinical staff and the billing team • Assist with MIPS success by determining appropriate measures and ensuring documentation exceeds requirements • Suggest enhancements to templates to optimize accuracy and MIPS compliance • Report to the Senior Medical Director

🎯 Requirements

• CPC (AAPC) or CCS-P (AHIMA) certification required • CPMA strongly preferred, or equivalent demonstrated chart-audit experience • 5+ years coding outpatient E/M, with direct auditing experience • Strong knowledge of Medicare telehealth rules • Experience with MIPS reporting and quality-measure documentation • US-based, with strong Medicare experience • Obesity medicine, endocrinology, or primary care background preferred • Prior work with OIG self-disclosure or payer audit response preferred • Experience building documentation templates or clinician cheat-sheets preferred

🏖️ Benefits

• Remote position • Independent contractor arrangement • Ongoing part-time schedule of approximately 15–20 hours per week • Work with a physician-led, evidence-based weight management care model • Opportunity to contribute to documentation templates, workflow improvements, and clinician education