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Risk Adjustment Medical Record Coder

BlueCross BlueShield of Tennessee · Chattanooga, TN · Risk Adjustment & Quality Division

Employment type

Full-time

Work setting

On-site

Location

Chattanooga, TN

Schedule

Day shift

Posted

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Job overview

The Risk Adjustment Medical Record Coder is a remote, day-shift role with standard hours of 8 a.m.–5 p.m. ET; compensation is not specified. The position supports BlueCross BlueShield of Tennessee’s Risk Adjustment & Quality Division. The role exists to review member records and capture active conditions accurately under CMS risk adjustment diagnosis coding guidelines. It contributes to documentation quality and compliance through first-pass reviews, intake quality assurance, and coding work for risk adjustment programs.

What you'll do

  • Maintain compliance with CMS risk adjustment diagnosis coding guidelines
  • perform first-pass reviews of medical records and physician assessment forms using HCC coding
  • assist with medical record intake and quality assurance
  • participate in special projects as directed
  • complete the required ICD-10 coding assessment
  • obtain the Certified Risk Adjustment Coder certificate from AAPC within one year after training.

What we're looking for

Skills & competencies
risk adjustment medical record coder
bluecross blueshield of tennessee
remote
day shift
8am–5pm et
chattanooga tn
hcc coding
icd-10
cms guidelines
medical records
aapc certification
risk adjustment
Work arrangement
  • Weekend coverage required

Why this role

Remote coding role focused on HCC reviews across Medicare Advantage, ACA, and Medicaid programs.

About the employer

BlueCross BlueShield of Tennessee is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.

Additional details

Industry sector
52
Industry
Direct Health and Medical Insurance Carriers
Occupation code
43-3021.00
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