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Full Time Remote Risk Adjustment Coder Jobs in Tennessee

QHC ARM Shared Services

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Supports Quality, Risk Management, Case Management, and other departments regarding HIM and coding ...

Quorum Health

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Supports Quality, Risk Management, Case Management, and other departments regarding HIM and coding ...

Quorum Health

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Supports Quality, Risk Management, Case Management, and other departments regarding HIM and coding ...

QHC ARM Shared Services

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... Supports Quality, Risk Management, Case Management, and other departments regarding HIM and coding ...

AppleOne

Certified Medical Coder (Remote)

Brentwood, TN · Remote

$22/hr

Job Summary We are seeking a Certified Medical Coder - Claims for a full-time, 100% remote contract opportunity supporting claims data quality within the insurance industry. This role focuses on ...

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All JobsRisk Adjustment Coder JobsFull Time Remote Risk Adjustment Coder JobsFull Time Remote Risk Adjustment Coder Jobs in Tennessee

Full Time Remote Risk Adjustment Coder information

What is the difference between Full Time Remote Risk Adjustment Coder vs Full Time Remote Medical Coder?

AspectFull Time Remote Risk Adjustment CoderFull Time Remote Medical Coder
CertificationsRHIT, RHIA, CCS, CPCCPC, CCS, RHIT
Work EnvironmentRemote, healthcare insurance companies, risk adjustment teamsRemote, hospitals, clinics, healthcare facilities
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, healthcare providers
Job FocusAnalyzing diagnoses for risk scores, coding for risk adjustmentMedical record coding, billing, and documentation

The main difference is that Full Time Remote Risk Adjustment Coders focus on analyzing diagnoses to support risk scores for insurance reimbursement, often requiring specific certifications like RHIT or CCS. Full Time Remote Medical Coders handle general medical coding for billing and documentation, with certifications like CPC or CCS. Both roles are remote but serve different purposes within the healthcare industry.

What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Tennessee? The most popular types of Remote Risk Adjustment Coder jobs in Tennessee are:
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Full Time Remote Risk Adjustment Coder jobs near you

Risk Adjustment Medical Record Coder-4

BlueCross BlueShield of Tennessee

Chattanooga, TN • On-site, Remote

Full-time

Posted 9 days ago

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.

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.

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