Clinical Documentation Improvement Specialist - Part-Time

Bluestone Physician Services’ unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach to care that is preventative, proactive and includes all members of the care team. Medical providers, nurses and social workers collaborate with patients’ other healthcare providers and families.

Our Care Model delivers customized care that is preventive, proactive, and includes all members of the care team, patients and their families. Our patients experience 21% less ER visits, 36% less hospitalization and 41% less hospital re-admissions compared to patients with similar conditions and complexities.

Bluestone has locations in Minnesota, Wisconsin, Florida and uses a mobile clinic approach to provide care to patients within Assisted Living, Memory Care, and Group Home Facilities.

At Bluestone, our employees are our most valuable asset. We know our success is only possible through the hard work and dedication of each of our employees.

Bluestone has been named to the Star Tribune's Top Workplace list every year since 2013! Bluestone also achieved Top Workplace USA!

Position Overview:
We are seeking a highly motivated and detail-oriented individual to join our team as a part-time Clinical Documentation Improvement (CDI) 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.
Part-time (20 hours per week). Ideal candidate will be located in one of the Bluestone markets in Minnesota, Wisconsin or Florida.
This part-time 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!
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

Qualifications:

Education/Certification/Experience

• Bachelor's degree in Health Information Management, Nursing, or related field.
• 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.

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