Risk Adjustment Medical Record Coder-2

BCBST BlueCross BlueShield of Tennessee, Inc.; Chattanooga (TN); Remote; USD 56,000 - 76,000; Full time

Job summary

BCBST is seeking a Risk Adjustment Medical Record Coder to support accurate and compliant coding by performing first-pass reviews of member medical records to map active conditions to risk values. This remote role operates 8am-5pm ET and encourages independent work with strong team collaboration.

Ideal candidates have experience in HCC coding, Medicare Advantage, ACA, and Medicaid programs, with CRC certification planned within one year and proficiency in Microsoft Office to aid documentation

Qualifications

• Education: Associates degree or equivalent work experience required.
• Experience: 1 year - Progressive medical coding and health care experience required.
• Certifications: Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA). Must acquire the CRC certificate from AAPC within one year after training.
• Ability to work independently with minimal supervision or in a team environment.
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
• Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
• Must be a team player, be organized and manage multiple projects.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• Understanding of ICD-10 coding standards.

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 the intake and quality assurance of medical records as necessary.
• Perform or participate in special projects as directed by management.
• ICD-10 Coding assessment is required.

Skills

Microsoft Office

AHIMA or AAPC certification

Independent work

Analytical thinking

Communication skills

ICD-10 knowledge

Education

Associate degree or equivalent

Job description

We are hiring a Risk Adjustment Medical Record Coder at BCBST! In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You’ll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance within the Risk Adjustment Quality Division. You will contribute to team success by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive mindset and commitment to continuous learning will help you stay current in an evolving healthcare landscape while strengthening overall team capability. To be successful in this position, you’ll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly within Medicare Advantage, ACA programs, and Medicaid programs. We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work—guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to enhance accuracy, efficiency, and outcomes.

Note

• This is a remote, day-shift position working standard shift hours; 8am-5pm ET
• Candidates should be comfortable working independently while maintaining strong engagement with the team

Job 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 the intake and quality assurance of medical records as necessary.
• Perform or participate in special projects as directed by management.
• ICD-10 Coding assessment is required.

Job Qualifications

• Education: Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.
• Experience: 1 year - Progressive medical coding and health care experience required.
• Skills/Certifications: Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA). Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
• Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
• Must be a team player, be organized and have the ability to handle multiple projects.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• Understanding of ICD-10 coding standards required.

Job Details

Number of Openings Available 1

Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc.

EEO Statement

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices

Our Company

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members.

Remote Work

BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance.