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BlueCross BlueShield of TennesseeBT

Risk Adjustment Medical Record Coder

BlueCross BlueShield of Tennessee is a taxpaying, not-for-profit health plan serving over 3.4 million members in Tennessee and around the country. Founded in 1945, they are dedicated to providing quality, affordable care and promoting better health in the communities they serve.

BlueCross BlueShield of Tennessee

Employee count: 5000+

United States only

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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. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy.

Requirements

  • Perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values
  • Maintain compliance with CMS risk adjustment diagnosis coding guidelines
  • Assist with the intake and quality assurance of medical records as necessary
  • Perform or participate in special projects as directed by management

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Retirement plan
  • Paid time off

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Entry-level

Location requirements

Hiring timezones

United States +/- 0 hours

About BlueCross BlueShield of Tennessee

Learn more about BlueCross BlueShield of Tennessee and their company culture.

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We are BlueCross BlueShield of Tennessee, a taxpaying, not-for-profit health plan deeply committed to serving our friends, family, and neighbors across Tennessee and beyond. For over 75 years, since our founding in 1945 by Roy McDonald, we've been dedicated to providing peace of mind through better health. Our mission is at the heart of everything we do, guiding our efforts to ensure our more than 3.4 million members have access to quality, affordable care. Living in the communities we serve means those we cover are more than just members; they are an integral part of our lives. This understanding fuels our passion to partner with the best healthcare providers and to continuously innovate in how we deliver care and service.

We're proud of our Tennessee roots and our role as the state's largest health plan. Our workforce of over 6,500 dedicated professionals across the state embodies our mission daily. We strive to create a workforce that intentionally reflects the diverse people we serve, fostering an engaged and culturally competent environment where employees feel valued and understand how their work contributes to our collective goal of better health for our members. This commitment extends to our communities through initiatives like the BlueCross Healthy Places program, which builds free, accessible public spaces for healthy activity and connection, and the Power of We Scholarship, supporting students in healthcare-related fields to improve health equity. We are more than just an insurance provider; we are a partner in health, working tirelessly to make a positive impact on the lives of Tennesseans and the communities we call home.

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BlueCross BlueShield of Tennessee

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BlueCross BlueShield of Tennessee hiring Risk Adjustment Medical Record Coder • Remote (Work from Home) | Himalayas