**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 AAPCwithin 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\. The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\. In this role, you’ll perform first pass reviews on medical records and physician assessment forms, focusing on capturing risk\-eligible conditions for both Medicare Advantage \(MA\) and Affordable Care Act \(ACA\) plans\. **Experience with HCC Coder, Excel, Outlook, & Teams is strongly preferred\.** This role offers flexible work hours \(allowing you to start your day as early as 6:00 AM and work as late as 9:45 AM EST\)\. You’ll have the option to flex up to 8 hours, including evenings and weekends as needed\. Join our team and contribute to enhancing healthcare quality and efficiency with your expertise and attention to detail\! **Number of Openings Available:** 1 **Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST is an Equal Opportunity employer \(EEO\), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made\. BCBST will take affirmative action to 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 \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** **Tobacco\-Free Hiring Statement** To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products \(including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes\) in any form in Tennessee and where state law permits\. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community\. **All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test\.** An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotineand/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six \(6\) months from the date of the post offer screening results\. Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree\.gov or 1\-800\-QUIT\-NOW\. About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years\. 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\. 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 applicant moves to Chattanooga, TN, they may be eligible for relocation benefits\.