Senior Clinical Documentation Specialist | $40-$48/hr

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense.

The Role

Join our dynamic research team as a Senior Clinical Documentation Specialist and embark on an exciting journey of annotating clinical notes. This fully remote position offers a unique opportunity to apply your expertise in medical terminology, anatomy, and physiology to ensure accurate diagnostic and procedural coding. By working on this, you'll be directly enhancing our AI algorithms and systems, making a significant impact on the future of healthcare technology.

What You'll Do

• Review and Code Documentation: Accurately assign ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to medical records, and other clinical documents.

• Ensure Compliance: Adhere to federal regulations, payer policies, and healthcare industry standards to ensure coding compliance.

• Collaborate: Work closely with the research team, product team, healthcare providers and UI/UX team to accurately identify the elements in need of annotation.

• Stay Updated: Keep abreast of coding guidelines, reimbursement policies, and healthcare regulations.

• Maintain Confidentiality: Protect patient information in compliance with HIPAA regulations.

• Develop Policies: Contribute to the development and implementation of coding policies, procedures, and training programs.

What You'll Bring

• 3+ years of experience in medical coding within a healthcare setting

• Experience with Medical Decision Making coding (Level of Service)

• Expertise in ICD-10-CM/PCS and CPT coding systems

• Inpatient and outpatient coding experience

• Experience with HCC coding

• Proficiency in electronic health record (EHR) systems and coding software

• Strong understanding of medical billing processes and reimbursement methodologies

CPC Certification or Equivalent

• CPC certification or equivalent - Credentialed by recognized professional coding organizations (e.g., AAPC or AHIMA)

Education

• Medical training in areas such as pre-med, nursing, pharmacy, or international medical programs. US board credentials are not …