Risk Adjustment Medical Record Coder

The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team. Expertise in HCC Coding with a background in MA and ACA is strongly preferred. In this role, you’ll complete first past reviews of member medical records to capture active conditions that map to a risk value. This role is a remote, day-shift position with the ability to flex up to 8 hours a workweek per BCBST company policy.

Please note an assessment is required for this role. You will take the assessment as part of the job application. After taking the assessment please return to the tab for the application and submit it.

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.