Risk Adjustment Medical Record Coder – 2

🔥 29 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

BlueCross BlueShield of Tennessee

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1952

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.

📋 Description

• Maintain compliance with CMS risk adjustment diagnosis coding guidelines • Perform comprehensive first-pass reviews of medical records and physician assessment forms for HCC coding • Identify and capture active conditions that map to risk values • Assist with intake and quality assurance of medical records as necessary • Perform or participate in special projects as directed by management • Work collaboratively in a remote environment, engaging in team chats and supporting peers • Use AI-enabled tools responsibly within established workflows, templates, and policies

🎯 Requirements

• Associate degree or equivalent work experience required; equivalent experience is defined as 2 years of professional work experience • 1 year of progressive medical coding and health care experience required • Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA) • Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year after completed training • ICD-10 Coding assessment required • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability • Proficiency in Microsoft Office (Outlook, Word, Excel and PowerPoint) • Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks • Ability to handle multiple projects; organized and team-oriented • Excellent oral and written communication skills • Strong interpersonal and organizational skills • Understanding of ICD-10 coding standards required • Ability to work standard shift hours, 8am–5pm ET

🏖️ Benefits

• Remote work arrangement • Day-shift schedule, 8am–5pm ET • Training provided for CRC certification acquisition

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume