Remote Risk Adjustment Coder — CMS-HCC Expert

Blue Cross and Blue Shield of Kansas City; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization is seeking a Remote Risk Adjustment Coder to develop best practices for clinical coding programs. The role includes reviewing medical records, ensuring data accuracy, and evaluating risk scores. Applicants should have a bachelor’s degree, at least three years of medical coding experience, and the ability to achieve CRC certification within a year. The position offers a competitive total rewards package and supports professional development.

Benefits

Comprehensive medical, dental, and vision benefits

Annual incentive bonus plan

Paid time off including holidays and volunteer time

Tuition reimbursement program

Qualifications

• 3 years of medical coding experience in a healthcare plan or environment.
• 2 years of experience working in a medical information environment.
• Must obtain CRC within one year of employment.

Responsibilities

• Develop best practices for clinical coding programs in risk adjustment.
• Ensure accuracy and integrity of data submitted to CMS.
• Evaluate risk score and identify improvement opportunities.

Skills

Medical coding experience

Attention to detail

Expert knowledge of CMS-HCC

Education

Bachelor’s degree in business administration or BSN

CPC or equivalent certification

Tools

MS Excel

MS Project

Job description

A healthcare organization is seeking a Remote Risk Adjustment Coder to develop best practices for clinical coding programs. The role includes reviewing medical records, ensuring data accuracy, and evaluating risk scores. Applicants should have a bachelor’s degree, at least three years of medical coding experience, and the ability to achieve CRC certification within a year. The position offers a competitive total rewards package and supports professional development.