Description
The Risk Adjustment & Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices.
What You’ll Do:
In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy.
Preferred Qualifications:
CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire.
Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred.
What Sets You Apart:
Self-motivated and proactive, thriving in a remote work environment
A true team player, ready to engage in team chats and support colleagues
A learner, eager to grow and adapt in a constantly evolving industry
Risk Adjustment Medical Record Coder • USA, TN, Chattanooga, Remote
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