Remote Certified Risk Adjustment Coder (HCC / ICD-10)

Bluestone; Stillwater (MN); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account

Flexible Spending Account

Retirement plan with 4% matching

Paid holidays

Paid PTO

Laptop provided

Job summary

Bluestone is seeking a highly motivated Certified Risk Adjustment Coding Specialist to conduct patient chart reviews and identify opportunities for accurate risk adjustment coding. The role focuses on documenting disease capture and supporting Bluestone providers in coding accuracy.

The position offers remote flexibility and requires remote work in Bluestone Markets (MN, WI, FL). Responsibilities include maintaining CMS guidelines, ICD-10-CM coding, and collaborating with clinical and billing

Qualifications

• Bachelor’s degree in Health Information Management or related field preferred, with extensive hands-on HCC coding experience.
• CRC certification or similar risk adjustment credential required.
• 2+ years coding experience focusing on HCC and CMS compliance.

Responsibilities

• Review medical records and encounter notes to identify reportable diagnoses.
• Assign ICD-10-CM codes per official guidelines and CMS requirements.
• Apply MEAT criteria to support diagnosis reporting.
• Identify documentation gaps and submit compliant provider queries as needed.
• Support risk adjustment reviews and conduct coding audits for quality improvement.
• Collaborate with providers, clinical leadership, billing and quality teams.
• Maintain knowledge of CMS changes and HCC model updates.
• Meet productivity, accuracy, and confidentiality standards.

Skills

CRC certification

HCC coding

ICD-10-CM expertise

Documentation review

CMS guidelines

Communication skills

Quality improvement

Remote work

Education

Bachelor's degree

Job description

Bluestone is seeking a highly motivated Certified Risk Adjustment Coding Specialist to conduct patient chart reviews and identify opportunities for accurate risk adjustment coding. The role focuses on documenting disease capture and supporting Bluestone providers in coding accuracy.

The position offers remote flexibility and requires remote work in Bluestone Markets (MN, WI, FL). Responsibilities include maintaining CMS guidelines, ICD-10-CM coding, and collaborating with clinical and billing