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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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Entry Level Risk Adjustment Coder information
See Chattanooga, TN salary details
$16.69 is the 25th percentile. Wages below this are outliers.
$14.45 - $16.73
26% of jobs
$16.73 - $19.02
9% of jobs
$19.02 - $21.31
12% of jobs
The median wage is $22.45 / hr.
$21.31 - $23.60
9% of jobs
$23.60 - $25.89
11% of jobs
$25.89 - $28.18
5% of jobs
$29.89 is the 75th percentile. Wages above this are outliers.
$28.18 - $30.46
6% of jobs
$30.46 - $32.75
5% of jobs
$32.75 - $35.04
5% of jobs
$35.04 - $37.33
3% of jobs
$37.33 - $39.62
10% of jobs
$14
$25
$39
How much do entry level risk adjustment coder jobs pay per hour?
What is an entry level risk adjustment coder?
An Entry Level Risk Adjustment Coder reviews medical records to identify and assign accurate diagnosis codes for risk adjustment purposes. Their work ensures healthcare organizations receive appropriate reimbursement based on patient health conditions. They typically use ICD-10-CM codes and follow guidelines from CMS and other regulatory bodies. This role requires strong attention to detail, knowledge of medical terminology, and an understanding of risk adjustment models. Entry-level coders may work in various healthcare settings, including insurance companies, hospitals, or coding firms.
What are the key skills and qualifications needed to thrive as an entry level risk adjustment coder?
To thrive as an Entry Level Risk Adjustment Coder, you need a strong understanding of medical terminology, anatomy, and ICD-10-CM coding guidelines, typically supported by completion of a coding training program or relevant coursework. Familiarity with coding software, electronic medical records (EMR) systems, and coding certification such as CPC or CRC is often preferred. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These skills and qualifications ensure the accurate coding of diagnoses for risk adjustment, compliance with regulations, and contribute to optimal healthcare reimbursement.
What does an entry level risk adjustment coder do?
A typical day for an entry level risk adjustment coder involves reviewing patient medical records to identify and assign appropriate diagnostic codes based on clinical documentation. You’ll use specialized coding software and electronic health record systems to ensure accuracy and compliance with federal guidelines. Collaboration with senior coders, team leads, and occasionally clinicians is common when clarification or additional documentation is needed. Most entry level coders work in an office or remote environment and spend much of their day analyzing records, updating databases, and participating in training sessions to stay current on coding updates.
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Risk Adjustment Medical Record Coder-4
Chattanooga, TN • On-site, Remote
Full-time
Posted 8 days ago
Job description
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.
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 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
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.
About BlueCross BlueShield of Tennessee
Sourced by ZipRecruiter
Industry
Insurance services
Company size
5,001 - 10,000 Employees
Headquarters location
Chattanooga, TN, US
Year founded
1945