Remote Healthcare administration Jobs · ICD-10

• Support accurate risk adjustment coding by performing first-pass reviews of member medical records.
• Maintain compliance with CMS risk adjustment diagnosis coding guidelines and HCC coding standards.
• Collaborate with a remote team and contribute to team success through proactive communication and continuous learning.

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.

• Review medical records and clinical documentation to ensure accurate, compliant coding per CMS, federal, state, and payer policies.
• Conduct routine and focused coding audits, collaborate with clinical leadership and revenue cycle teams, and provide actionable recommendations.
• Serve as a subject matter expert on pediatric, Medicaid, telehealth, and behavioral health coding, interpreting state-specific billing requirements.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual and in-home medical, behavioral, and social care, and are a remote-first, high-growth environment.