Job Description

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

:


Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.

About Innovaccer

Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure, extending the human touch in healthcare. For more information, visit www.innovaccer.com.


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