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Role Overview:
- You will support accurate and compliant coding practices by performing first-pass reviews of member medical records.
- As a member of the Risk Adjustment & Quality Division, you help ensure documentation accuracy and quality compliance.
Key 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 intake and quality assurance of medical records as necessary.
Qualifications:
- Associate's degree or equivalent work experience required.
- Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA) required.
- Must acquire Certified Risk Adjustment Coder (CRC) certificate within one year.
Working Environment:
- This is a remote, day-shift position working standard hours (8am-5pm ET).
- You will work independently while maintaining strong engagement with the team.
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee is Tennessee's largest health benefit plan company, helping members since 1945. As a remote-first organization, it fosters a culture of innovation and collaboration with a focus on employee well-being.