Risk Adjustment Medical Record Coder

BCBST BlueCross BlueShield of Tennessee, Inc.

Fully remote
Icd-10 coding assessment required
First-pass medical record review
Hcc coding expertise in ma/aca programs
BCBST BlueCross BlueShield of Tennessee, Inc. is seeking a Risk Adjustment Medical Record Coder for a fully remote position. The ideal candidate will have expertise in HCC coding, a strong background in medical coding, and the ability to work independently as well as collaboratively

Job Summary

  • The role involves performing comprehensive first-pass reviews of medical records to identify active conditions that map to risk values.
  • Candidates must maintain strict compliance with CMS risk adjustment diagnosis coding guidelines while working independently or as part of a team.
  • This is a remote, day-shift position offering flexibility to work up to 8 additional hours per week.

Matching Summary

Match Score: 85

BCBST BlueCross BlueShield of Tennessee, Inc. is seeking a Risk Adjustment Medical Record Coder for a fully remote position. The ideal candidate will have expertise in HCC coding, a strong background in medical coding, and the ability to work independently as well as collaboratively.

Skills & Requirements

Must-have

  • ICD-10 coding assessment required
  • First-pass medical record review
  • HCC coding expertise in MA/ACA programs

Nice-to-have

  • Self-motivated remote worker
  • Team player engaging in chats
  • Eager learner for evolving industry

Key Requirements

  • Associates degree or 2 years equivalent experience
  • 1 year progressive medical coding experience
  • AHIMA or AAPC professional certification (CPC, CCS, RHIT, RHIA)
  • Obtain CRC certification within one year of hire

Work Rights

Not specified

Tailored Resume

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