Remote Risk Adjustment Coding Specialist | HCC Expert

Bluestone Physician Services; Tallahassee (FL); 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 (FSA)

Retirement plan with 4% match

Paid holidays

Paid Time Off

Company laptop

Job summary

Bluestone Physician Services is seeking a detail-oriented Certified Risk Adjustment Coding Specialist to conduct thorough chart reviews and accurately capture risk adjustment diagnoses. This remote role requires Florida residency and a CRC or equivalent certification, with 2+ years in healthcare coding focused on HCC.

Responsibilities include reviewing records, assigning ICD-10-CM codes per CMS guidelines, applying MEAT criteria, and identifying documentation gaps.

Qualifications

• Proficient in ICD-10-CM coding guidelines and CMS requirements.
• Experience in risk adjustment coding and HCC capture.
• Ability to review records for documentation gaps and coding opportunities.

Responsibilities

• Review medical records and encounter notes to identify reportable diagnoses.
• Assign accurate ICD-10-CM codes per guidelines and CMS rules.
• Apply MEAT criteria to support diagnosis reporting.
• Identify HCC capture opportunities and gaps in documentation.
• Communicate with providers to clarify and correct records as needed.
• Ensure coding accuracy and clinical support within records.

Skills

ICD-10-CM coding

Risk adjustment

Medical records review

Attention to detail

Remote work capability

HIPAA compliance

Education

Bachelor's degree in Health Information Management

CRC certification or equivalent

Tools

CMS guidelines

Job description

Bluestone Physician Services is seeking a detail-oriented Certified Risk Adjustment Coding Specialist to conduct thorough chart reviews and accurately capture risk adjustment diagnoses. This remote role requires Florida residency and a CRC or equivalent certification, with 2+ years in healthcare coding focused on HCC.

Responsibilities include reviewing records, assigning ICD-10-CM codes per CMS guidelines, applying MEAT criteria, and identifying documentation gaps.