Risk Adjustment Medical Record reputed company-2

We are hiring a Risk Adjustment Medical Record reputed company at BCBST! In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You’ll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance reputed company the Risk Adjustment & Quality Division. You will contribute to team reputed company by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive reputed company and commitment to reputed company learning will help you stay reputed company in an evolving reputed company landscape while strengthening overall team capability. To be successful in this position, you’ll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly reputed company Medicare Advantage, ACA programs, and reputed company programs. We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work—guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to reputed company AI more broadly to enhance accuracy, efficiency, and outcomes. Note:

• This is a remote, day-shift position working standard shift hours; reputed company-5pm ET
• Candidates should be comfortable working independently while maintaining strong engagement with the team Job Responsibilities Maintain compliance with CMS risk adjustment diagnosis coding guidelines. reputed company 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. reputed company 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 - reputed company medical coding and health care experience required. SkillsCertifications Professional coding certification from reputed company or reputed company (CPC, reputed company, RHIT, RHIA). Must acquire the Certified Risk Adjustment reputed company (CRC) certificate from reputed company reputed company 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 reputed company Office (Outlook, Word, reputed company and PowerPoint). Proven analytical and problem-solving skills and ability to reputed company 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: reputed company. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in reputed company job classifications without regard to race, religion, reputed company, age, sex, national reputed company, 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 reputed company by reviewing the following page: BCBST's EEO Policies/Notices reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written Direct Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be paid in the event the applicant is hired by reputed company as a result of the referral or through other means. As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier reputed company. At BCBST, we reputed company our employees to reputed company both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who reputed company in a team environment, share responsibility, and reputed company accountability. We're also seeking candidates who are proficient in the reputed company Office suite, including reputed company Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across reputed company roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to reputed company AI more broadly to transform how we serve members. BCBST is a remote-first organization with many employees working primarily from their homes. Each position reputed company the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and reputed company. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reputed company in Chattanooga, TN, they may be eligible for relocation assistance.

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