Certified Risk Adjustment Coder

Job Summary

To enhance documentation accuracy and comprehensive disease capture, the full-time Certified Risk Adjustment Coder will conduct thorough patient chart reviews and collaborate with providers to improve risk adjustment coding practices in a remote role based in Minnesota, Wisconsin, or Florida.

Key responsibilities

• Perform comprehensive reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement
• Collaborate with Bluestone providers and clinical staff to educate them on accurate documentation for risk adjustment purposes
• Maintain accurate records of chart reviews and coding opportunities identified, while staying current with updates in risk adjustment coding guidelines

Required qualifications

• Bachelor's degree in Health Information Management, Nursing, or a related field
• Certified Risk Adjustment Coder (CRC) certification or related risk certification required
• Minimum of 2 years of experience in healthcare coding, focusing on Hierarchical Condition Category (HCC) coding and risk adjustment
• Strong understanding of ICD-10-CM coding guidelines related to risk adjustment
• Demonstrated experience in providing education and training to healthcare professionals