Clinical Documentation Improvement Specialist
New
B
Bluestone Physician ServicesHealthcare
This remote role MUST be located in one of the Bluestone Markets (Minnesota, Wisconsin or Florida).Full-TimeMiddle
Salary60,000 - 75,000 USD per year
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Job Details
- Languages
- English
- Experience
- Minimum of 2 years
Requirements
- Bachelor's degree in Health Information Management, Nursing, or related field.
- Certified Risk Adjustment Coder (CRC) or Risk Adjustment Coding (RAC) certification.
- Minimum of 2 years of experience in healthcare coding, with a focus 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 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.
- Knowledge of healthcare compliance regulations and privacy laws.
- Demonstrated ability to read, write, speak, and understand the English language.
Responsibilities
- Perform comprehensive reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement.
- Collaborate with Bluestone providers and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes.
- Provide ongoing training and support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and documentation requirements.
- Offer guidance and feedback to providers to facilitate improved documentation practices and ensure compliance with coding standards.
- Act as a resource for clinical staff regarding coding inquiries and documentation best practices.
- Maintain accurate records of chart reviews, coding opportunities identified, and outcomes of provider education efforts.
- Stay current with updates and changes in risk adjustment coding guidelines and regulations.
- Assist in the development and implementation of CDI initiatives to optimize coding accuracy and capture disease burden among Bluestone’s patient population
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