What are the responsibilities and job description for the Risk Adjustment Medical Record Coder position at BlueCross BlueShield of Tennessee?
The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team. Expertise in HCC Coding with a background in MA and ACA is strongly preferred. In this role, you’ll complete first past reviews of member medical records to capture active conditions that map to a risk value. This role is a remote, day-shift position with the ability to flex up to 8 hours a workweek per BCBST company policy.
Please note an assessment is required for this role. You will take the assessment as part of the job application. After taking the assessment please return to the tab for the application and submit it.
Job Responsibilities
- Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
- Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
- Assist with the intake and quality assurance of medical records as necessary.
- Perform or participate in special projects as directed by management.
- ICD-10 Coding assessment is required.
Job Qualifications
Education
- Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.
Experience
- 1 year - Progressive medical coding and health care experience required.
Skills\Certifications
- 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.
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
- Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
- Must be a team player, be organized and have the ability to handle multiple projects.
- Excellent oral and written communication skills.
- Strong interpersonal and organizational skills.
- Understanding of ICD-10 coding standards required.
Number of Openings Available:
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Tobacco-Free Hiring Statement
To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.
Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.
