Jobs in the United States

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Added 4 mins ago
Facility Coder-Him (PRN)
North Kansas City Hospital
North Kansas City, MO
…secondary diagnosis, and surgical procedures. The HIM Facility Coder collaborates with Revenue Integrity and Patient Financial Services to resolve edits, verify code accuracy and ensure…
Added 5 mins ago
Director, Risk Adjustment Product & Technology
(Mosaic Shared Services) Millennium Healthcare Management Serv LLC
Remote, United States
Added 13 mins ago
Coding Inpatient Auditor
AdventHealth
Maitland, FL
Certified Professional Coder (CPC) [Required]
Added 13 mins ago
Outpatient Coder Surgery and Observation
AdventHealth
Altamonte Springs, FL
Added 13 mins ago
Coding Education Coordinator and Trainer
AdventHealth
Altamonte Springs, FL
Develop and deliver individualized education plans based on coder performance, audit findings, and identified gaps
Added 13 mins ago
Profee Audit Specialist - FT
Datavant
Tallahassee, FL
Provides coder education via the auditing process
Added 14 mins ago
Inpatient Surgical Coder
AdventHealth
Tampa, FL
…Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC)…
Added 14 mins ago
Coding Auditor
AdventHealth
Orlando, FL
…Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC) [Required] OR Certified Interventional Radiology Cardiovascular Coder (CIRCC)…
Added 14 mins ago
Inpatient Surgical Coder
AdventHealth
Orlando, FL
…Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC)…
Added 14 mins ago
Senior Coding Auditor
AdventHealth
Altamonte Springs, FL
…Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC) [Required] OR Certified Interventional Radiology Cardiovascular Coder (CIRCC)…
Added 16 mins ago
IG
GI Surgery coder
Insight Global
Remote, United States
- From $35 USD / hour
The GI Coder III is responsible for reviewing and assigning accurate ICD-10, CPT, and HCPCS codes for a variety of gastroenterology procedures and services. This individual will analyze…
Added 25 mins ago
CRMG Coder II
Cheyenne Regional Medical Center
Cheyenne, WY
Current Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC)
Added 1 hour ago
HH
Inpatient Coder, Full Time
Hialeah Hospital
Hialeah, FL
- Full-time
Medical Record Coder is responsible for timely review of patient records in order to identify an appropriate selection of ICD-10-CM/PCS codes that will accurately reflect the reason for…
Added 1 hour ago
Manager, Coding
Adventist Health
Roseville, CA
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS): Required
Added 1 hour ago
Pediatric Revenue Cycle Operations Analyst
American Academy of Pediatrics
Itasca, IL
…education and work experience required. Certified Professional Coder required; relevant certification in Diagnosis-Related Group (DRG) coding, as well as certifications related to…
Added 1 hour ago
MS
Inpatient Coder
Medix Staffing Solutions
Remote, United States
- $36.06 to $40.87 USD / hour
Our client is seeking an Inpatient Coder responsible for reviewing and analyzing inpatient medical records from admission through discharge. The primary goal of this role is to ensure…
Added 1 hour ago
Pediatric Revenue Cycle Operations Analyst
American Academy of Ped
Itasca, IL
…education and work experience required. Certified Professional Coder required; relevant certification in Diagnosis-Related Group (DRG) coding, as well as certifications related to…
Added 1 hour ago
Profee Audit Specialist - FT
Datavant
Jefferson City, MO
Provides coder education via the auditing process
Added 2 hours ago
RN Clinical Auditor (44947)
Neighborhood Health Plan of Rhode Island
Smithfield, RI
Certified Coding Specialist (CCS), Certified Coding Specialist Provider-based (CCS-P), Certified Professional Coder (CPC or CPC-H), CPMA or equivalent certification.
Added 2 hours ago
Certified Coder- Physician Billing
Murray-Calloway County Hospital
Murray, KY
Added 2 hours ago
RU
Certified Medical Coder
Randstad USA
Remote, United States
- $24 to $24.04 USD / hour
Certified Medical Coder Pay Rate: 24.00 per hour 100% Remote 3-6 month contract What You will Be Doing:
Added 2 hours ago
Risk Adjustment Coder
Cano Health LLC
Remote, United States
The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the…
Added 3 hours ago
Sr. Certified Coder, Acute SDS-OBSV (Remote)
Adventist Health
Roseville, CA
Attends meetings and training pertaining to coder education, audit reviews, staff meetings, outpatient coder roundtable meetings, and SDC to OBV charges.
Added 3 hours ago
Supervisor, Coding (Remote)
Adventist Health
Roseville, CA
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT): Required
Added 3 hours ago
Permanent Health and Information Management Medical Coder
Aya Healthcare
Saint Louis, MO
Aya Healthcare has an immediate opening for a Permanent Health and Information Management Medical Coder job in Saint Louis, Missouri paying Based on Experience. This is a week contract…

Bluestone Physician Services

Certified Risk Adjustment Coding Specialist

WI, United States
FL, United States
MN, United States

$60,000 to $75,000 USD / year

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Job details

Pay: $60,000 to $75,000 USD / year
Experience: Minimum of 2 years of experience in healthcare coding, with a focus on Hierarchical Condition Category (HCC) coding and risk adjustment.
Posting language: English
Posted: Nov 2, 2026

Original job description

Bluestone delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services - our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.

Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients’ chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.

Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.

Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 14th year in a row! Bluestone also achieved Top Workplace USA 2021-2026! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country as measured by the overall savings per Medicare beneficiary.

We are seeking a highly motivated and detail-oriented individual to join our team as a Certified Risk Adjustment Coding Specialist. The primary responsibility of this role is to conduct thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play a crucial role in ensuring proper documentation to support appropriate and accurate disease capture and documentation by Bluestone providers.

This position offers remote flexibility and the opportunity to make a meaningful impact on documentation accuracy and comprehensive disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!

Schedule: Full-time, weekdays during regular business hours, no evenings, weekends or holidays.

Location: This remote role MUST be located in one of the Bluestone Markets (Minnesota, Wisconsin or Florida).

Salary: $60,000 – $75,000 annual salary. Salary will be commensurate with experience.

Responsibilities:

Review medical records, provider documentation, and encounter notes to identify and validate reportable diagnoses.
Assign accurate ICD-10-CM diagnosis codes in accordance with official coding guidelines and CMS requirements.
Apply appropriate MEAT (Monitoring, Evaluation, Assessment, and Treatment) criteria to support diagnosis reporting.
Review documentation for HCC capture opportunities and identify unsupported, incomplete, or inconsistent diagnoses.
Identify potential documentation gaps and submit compliant, non-leading provider queries when clarification is needed.
Evaluate diagnosis coding accuracy and ensure appropriate clinical support exists within the medical record.
Support prospective and retrospective risk adjustment reviews.
Perform coding audits and participate in quality improvement initiatives.
Identify trends in coding discrepancies and communicate opportunities for improvement.
Collaborate with providers, clinical leadership, billing, coding, and quality departments.
Maintain current knowledge of CMS regulations, ICD-10-CM guidelines, and changes to risk adjustment models, including applicable HCC model updates.
Meet established productivity, accuracy, and quality performance standards.
Maintain confidentiality and comply with HIPAA requirements.

Qualifications:

Education/Certification/Experience

Bachelor’s degree in Health Information Management, Nursing, Healthcare Administration, or a related healthcare field is preferred - Candidates without a bachelor’s degree will be considered based on an equivalent combination of relevant education, professional certifications, and extensive hands-on experience in HCC coding, clinical documentation review, and CMS compliance may be considered in place of a formal degree)
Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification required
Minimum of 2 years of experience in healthcare coding, with a focus on Hierarchical Condition Category (HCC) coding and risk adjustment.

Knowledge/Skills/Abilities

Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities.
Strong understanding of ICD-10-CM coding guidelines, particularly as they relate to risk adjustment.
Excellent communication skills with the ability to effectively interact with Bluestone providers and clinical staff.
Demonstrated experience in providing education and training to Bluestone professionals.
Detail-oriented with strong analytical 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.
Demonstrated compatibility with Bluestone’s mission and operating philosophies
Demonstrated ability to read, write, speak, and understand the English language

Bluestone 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 (10) paid holidays per year
Three weeks (15 Days) Paid Time Off (PTO)
Company sponsored laptop and computer accessories
Regular business hours

Pay Transparency

$60,000 - $75,000 USD

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More about this job

Skills

Documentation
Regulatory compliance
Health records management
Communication skills
Problem solving
Work independently
Manage time

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