Arkansas Blue Cross and Blue Shield
Medical Risk Adjustment & Compliance Coder Associate
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Job Description
- Req#: R0013057
Employer Industry: Healthcare Insurance
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from select states including Arkansas, Florida, Georgia, Illinois, Kansas, Louisiana, Minnesota, Mississippi, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and Wisconsin
- Competitive salary based on qualifications and experience
- Supportive and collaborative work environment
- Chance to make a positive impact on healthcare quality through accurate coding and documentation
What to Expect (Job Responsibilities):
- Review, interpret, and code medical record documentation for diagnosis accuracy and compliance with ICD-10 CM coding guidelines
- Support the collection and distribution of documentation and coding improvement tools for designated practices
- Engage in program improvement discussions and activities to enhance coding practices
- Maintain documentation for processes related to the job role
- Participate in professional training, including travel as needed
What is Required (Qualifications):
- Bachelor’s degree in Business, Healthcare, or a related field, or five (5) years of experience in healthcare, medical office management, insurance risk adjustment, medical coding, and/or claims processing
- Current certification as a Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Professional Coder (CPC), or Certified Risk Coder (CRC)
- Previous experience in medical coding, medical claims review, and/or claims processing
- Proficiency in ICD-10 CM coding guidelines and knowledge of Medicare and Affordable Care Act regulations
- Strong oral and written communication skills, along with proficiency in Microsoft Office
How to Stand Out (Preferred Qualifications):
- Experience working with Hierarchical Coding Condition (HCC) and Risk Adjustment Factor (RAF)
- Completion of college-level courses in medical terminology, anatomy and physiology, and pathophysiology
- Strong analytical problem-solving skills and ability to work independently
#HealthcareInsurance #MedicalCoding #RemoteWork #CareerAdvancement #ProfessionalDevelopment
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Founded in 1948, Arkansas Blue Cross and Blue Shield, an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest health insurer in Arkansas. Arkansas Blue Cross and its family of affiliated companies have more than 3,200 employees.
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