Job Description
If you got into healthcare to make a difference, you're in the right place. We're looking for a values-driven, mission-focused, dynamic Clinical Coding and Documentation Specialist who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that's you, read on! What's Rippl? At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action.
We're reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital.
Our Mission The Rippl Mission is to enable more good days for those living with dementia and their families.
Our Core Values At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers.
We're fed up. Today's dementia care isn't working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better—so we're doing it.
We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need—when and where they need it. And we're proving it works.
We're in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait.
We start with yes. We don't let barriers stop us. When faced with a challenge, we figure it out—together. We're problem-solvers, innovators, and doers who find a way to make things happen for the people who need us.
We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team—because when they feel valued and empowered, patients and caregivers get the care they deserve.
Join the movement We're looking to find other changemakers who are ready to join our movement.
The Role: As the Clinical Coding and Documentation Specialist, you will play a critical role to ensure accurate, compliant, and optimized clinical documentation and coding across the organization. This role supports revenue integrity, and quality reporting as we scale our value-based care model. You will also help develop documentation best practices, train clinicians and staff, and ensure our systems support accurate and efficient workflows in a fast-growing, tech-enabled care environment. A key focus of this position is auditing coders' work, reviewing charts for accuracy, and providing feedback to ensure coders consistently meet a 95% accuracy threshold.
Essential Functions: - Review medical records for accuracy, completeness, and appropriate documentation of clinical conditions.
- Verify that documentation accurately reflects diagnoses, services provided, and supports compliant coding and billing.
- Oversee the development and implementation of documentation and coding standards that support accurate, compliant coding and appropriate reimbursement.
- Serve as a subject matter expert (SME) on ICD-10, CPT, HCPCS, and CMS documentation and coding guidelines.
- Perform regular audits of clinical documentation and coded data to ensure accuracy, completeness, and compliance, and support remediation efforts of any identified issues.
- Develop and maintain policies and procedures related to medical coding, documentation, and audit processes.
- Design and deliver training programs for clinicians and care team members on proper documentation practices, coding changes, and compliance requirements.
- Provide ongoing feedback and education based on audit findings, coding updates, and evolving best practices.
- Partner with leadership to identify documentation improvement opportunities that support care quality and organizational performance.
- Work closely with revenue cycle, compliance, and data analytics teams to ensure documentation and coding align with billing and reporting requirements.
- Collaborate with technology teams to optimize EHR templates, workflows, and decision support tools that promote accurate documentation and coding.
- Assist in preparation and response to audits by payers, CMS, or internal compliance teams.
- Develop metrics and dashboards to monitor coding accuracy, provider engagement, audit outcomes, and financial impact.
- Lead or contribute to cross-departmental initiatives focused on scaling documentation and coding infrastructure in a fast-paced, tech-enabled environment.
Qualifications: - Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification.
- Experience working with Care Management programs such as Principal Illness Navigation, Chronic Care Management and Principal Care Management a plus
- 3+ years of experience in medical coding and documentation, with prior audit experience strongly preferred.
- Strong clinical and coding knowledge, including ICD-10, CPT, HCPCS, medical terminology, coding principles, and EHR documentation workflows.
- Experience working in diverse healthcare delivery and reimbursement settings.
- Excellent communication, training, and interpersonal skills, with the ability to engage clinicians and cross-functional stakeholders.
- Proficiency in using EHR systems and Business Intelligence tools (e.g., Athena, Looker, Excel).
- Experience in a startup or high-growth healthcare environment.
- Experience integrating documentation/coding workflows into tech-enabled platforms or EHR customization.
What's in it for you - Development, mentoring and training programs designed to help you chart your dream career and make sure you are learning everything you need to know as you gain more responsibility
- Fast growth company with opportunities to take on more responsibility or develop into new roles
- Flexible work environment and the opportunity to work from home
- Competitive compensation
- 401(k) plan with a company contribution
- Equity in the form of stock options
- Medical, Dental and Vision coverage for you and your family
- Life insurance and Disability
- Remote Work stipend
- Generous Paid Time Off
Pay Range Details The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location.
Role: $60,000 - $78,000 depending on experience
We are going to make some very big waves starting with a small Rippl - come join us!
Job Tags
Work from home, Flexible hours,