Certified Risk Adjustment Coding Specialist
About The Position
Bluestone is seeking a highly motivated, detail-oriented Certified Risk Adjustment Coding Specialist to conduct patient chart reviews and identify opportunities for providers to accurately capture risk adjustment diagnostic codes. The role supports proper documentation and accurate disease capture by Bluestone providers, helping improve coding practices and quality patient care. This position works with Bluestone providers and clinical staff to promote understanding of risk adjustment coding guidelines and documentation requirements. It also maintains records of chart reviews and education outcomes, keeps current with changes in coding guidelines and regulations, and assists with clinical documentation improvement initiatives. The role offers remote flexibility but must be based in Minnesota, Wisconsin, or Florida, within Bluestone’s markets.
Requirements
- Bachelor’s degree in Health Information Management, Nursing, or a related field.
- Certified Risk Adjustment Coder (CRC), Risk Adjustment Coding (RAC), or related risk certification.
- At least 2 years of healthcare coding experience, focused on Hierarchical Condition Category (HCC) coding and risk adjustment.
- Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities.
- Strong understanding of ICD-10-CM coding guidelines, particularly those related to risk adjustment.
- Excellent communication skills and ability to interact effectively with providers and clinical staff.
- Demonstrated experience providing education and training to healthcare professionals.
- Strong attention to detail, analytical skills, and problem-solving skills.
- Ability to work independently and manage time effectively in a remote or part-time role.
- Knowledge of healthcare compliance regulations and privacy laws.
- Compatibility with Bluestone’s mission and operating philosophies.
- Ability to read, write, speak, and understand English.
Responsibilities
- Perform comprehensive reviews of patient charts to identify documentation gaps and opportunities to improve risk adjustment coding.
- Collaborate with Bluestone providers and clinical staff to educate them about accurate risk adjustment documentation.
- Provide ongoing training and support to providers on risk adjustment coding guidelines and documentation requirements.
- Offer providers guidance and feedback to improve documentation practices and support compliance with coding standards.
- Serve as a resource for clinical staff on coding questions and documentation best practices.
- Maintain accurate records of chart reviews, identified coding opportunities, and outcomes of provider education.
- Stay current with updates and changes in risk adjustment coding guidelines and regulations.
- Assist in developing and implementing CDI initiatives to optimize coding accuracy and capture disease burden among Bluestone’s patient population.
Benefits
- Health insurance
- Dental insurance
- Vision Materials Insurance
- Company-paid life insurance
- Company-paid short- and long-term disability
- Health Savings Account with employer contribution
- Flexible Spending Account (FSA)
- Retirement plan with 4% matching contributions
- Ten paid holidays per year
- Three weeks (15 days) of paid time off
- Company-sponsored laptop and computer accessories
- Regular business hours
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
