Explore 3 coder jobs from 2 hiring companies in Sewanee, TN, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

BlueCross BlueShield of Tennessee

Galen Medical Group

Remote

Onsite

<div><div>Additional Job Description</div></div><div><div><div><div><div><div><div><div><div>The Risk Adjustment &amp; Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices.What You’ll Do: In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy.Preferred Qualifications:<ul><li>CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire.</li><li>Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred.</li></ul> What Sets You Apart:<ul><li>Self-motivated and proactive, thriving in a remote work environment</li><li>A true team player, ready to engage in team chats and support colleagues</li><li>A learner, eager to grow and adapt in a constantly evolving industry</li></ul></div></div></div></div></div></div></div></div></div>Job Responsibilities<ul><li>Maintain compliance with CMS risk adjustment diagnosis coding guidelines.</li><li>Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).</li><li>Assist with the intake and quality assurance of medical records as necessary.</li><li>Perform or participate in special projects as directed by management.</li><li>ICD-10 Coding assessment is required.</li></ul>Job QualificationsEducation<ul><li>Associates degree or equivalent work experience required.  Equivalent experience is defined as 2 years of professional work experience.</li></ul>Experience<ul><li>1 year - Progressive medical coding and health care experience required.</li></ul>Skills\Certifications<ul><li>Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).</li><li>Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.</li><li>Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.</li><li>Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).</li><li>Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.</li><li>Must be a team player, be organized and have the ability to handle multiple projects.</li><li>Excellent oral and written communication skills.</li><li>Strong interpersonal and organizational skills.</li><li>Understanding of ICD-10 coding standards required.</li></ul>Number of Openings Available1Worker Type:EmployeeCompany: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&#39;s EEO Policies/Notices may be found by reviewing the following page:<a href="https://www.bcbst.com/docs/equal-employment-opportunity.pdf" target="_blank">BCBST&#39;s EEO Policies/Notices</a>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.

Risk Adjustment Medical Record Coder

Remote, full-time risk adjustment medical record coder with HCC/ICD-10 coding expertise; CRC certification preferred; MA and ACA experience a plus.

Bcbst

The Risk Adjustment &amp; Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices.What You’ll Do: In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy.Preferred Qualifications:<ul><li>CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire.</li><li>Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred.</li></ul> What Sets You Apart:<ul><li>Self-motivated and proactive, thriving in a remote work environment</li><li>A true team player, ready to engage in team chats and support colleagues</li><li>A learner, eager to grow and adapt in a constantly evolving industry</li></ul>Job Responsibilities<ul><li>Maintain compliance with CMS risk adjustment diagnosis coding guidelines.</li><li>Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).</li><li>Assist with the intake and quality assurance of medical records as necessary.</li><li>Perform or participate in special projects as directed by management.</li><li>ICD-10 Coding assessment is required.</li></ul>Job QualificationsEducation<ul><li>Associates degree or equivalent work experience required.  Equivalent experience is defined as 2 years of professional work experience.</li></ul>Experience<ul><li>1 year - Progressive medical coding and health care experience required.</li></ul>Skills\Certifications<ul><li>Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).</li><li>Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.</li><li>Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.</li><li>Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).</li><li>Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.</li><li>Must be a team player, be organized and have the ability to handle multiple projects.</li><li>Excellent oral and written communication skills.</li><li>Strong interpersonal and organizational skills.</li><li>Understanding of ICD-10 coding standards required.</li></ul>Number of Openings Available1Worker Type:EmployeeCompany: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&#39;s EEO Policies/Notices may be found by reviewing the following page:<a href="https://www.bcbst.com/docs/equal-employment-opportunity.pdf" target="_blank">BCBST&#39;s EEO Policies/Notices</a>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.

Remote risk adjustment coder with 1 year medical coding experience; CRC preferred or must obtain within 1 year; HCC/MA/ACA experience preferred; Associates degree or 2 years related experience; ICD-10 coding knowledge; AHIMA/AAPC certifications.

EMR Coding Auditor

<img alt="26-vdzcnw.y65ld" src="https://i1.wp.com/galenmedical.com/wp-content/uploads/2018/05/26-vdzcnw.y65ld.png?fit=151%2C50&amp;ssl=1" />

&nbsp;

Summary/Objective:

&nbsp;The EMR Coding Auditor (ECA) facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. The individual will perform medical record reviews based on CMS Quality Standards and validating active chronic problems for each patient and communicating with the physician to ensure Hierarchical Condition Coding is met, as well as accurate and up-to- date patient problem lists are documented in the EMR. This position will interact with physicians, coding staff and other members of the health care team to ensure the accuracy and completeness of clinical documentation to support resource utilization and patient outcomes.

The ECA reports to the Population Health Manager. It is the obligation of each Galen associate to comply with and promote the Galen mission, core values, privacy and corporate/departmental/site policies (I.E. Dress code, Time and attendance, et al).

Essential Functions:

Coordinate Patient Services

<ul>
	<li class="TableParagraph" style="margin-left:12px;">Perform medical chart reviews to confirm adherence to AAPC clinical coding guidelines.</li>
	<li class="TableParagraph" style="margin-right:93px;margin-left:12px;">Complete audits daily to validate compliance with quality standards and HCC documentation.</li>
	<li class="TableParagraph" style="margin-left:12px;">Queries the provider to educate and improve individual patient documentation in the EMR.</li>
	<li class="TableParagraph" style="margin-right:22px;margin-left:12px;">Protects self and other team members by following all compliance, HIPAA and infection prevention guidelines and regulations.</li>
	<li class="TableParagraph" style="margin-left:12px;">Respects patients by recognizing their rights; maintaining confidentiality.</li>
	<li style="margin-bottom:10px;margin-left:12px;">Assist patient&rsquo;s primary care provider with coordination of care/services to ensure the smooth transfer of member information across the continuum of care.</li>
	<li class="TableParagraph" style="margin-right:12px;margin-left:12px;">Maximize the use of resources to improve quality outcomes with reduction of unnecessary tests/procedures maintaining accurate and complete documentation in the medical record.</li>
	<li class="TableParagraph" style="margin-right:51px;margin-left:12px;">Proactively engage with patients, family and/or caregivers to educate and coordinate completion of necessary procedures or tests.</li>
</ul>

&nbsp;

Establish and Maintain Quality Care Population Health Coordination

<ul style="margin-bottom:10px;">
	<li class="TableParagraph" style="margin-left:12px;">Independently monitors and reviews an assigned patient population.</li>
	<li class="TableParagraph" style="margin-right:78px;margin-left:12px;">May provide telephonic outreach to patients identified as high risk, with chronic condition(s) to assist with medical record requests, as needed.</li>
	<li class="TableParagraph" style="margin-left:12px;">Thorough understanding of ICD-10, CPT and complex co-morbidity coding.</li>
	<li class="TableParagraph" style="margin-left:12px;">Participate in monthly and quarterly meetings, as requested by supervisor.</li>
	<li style="margin-bottom:10px;margin-left:12px;">Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, benchmarking state- of-the-art practices and participating in professional organizations regarding clinical quality measures and governmental regulations.</li>
</ul>

Other Duties/Responsibilities:

<ul style="margin-bottom:2px;">
	<li style="margin-bottom:2px;margin-left:8px;">&nbsp;Other duties as assigned.</li>
</ul>

&nbsp;

Knowledge/Expectations/Abilities:

<ul>
	<li style="margin-left:8px;">Records maintenance skills.</li>
	<li style="margin-left:8px;">Ability to communicate effectively, both orally and in writing.</li>
	<li style="margin-left:8px;">Ability to maintain calendars and schedule appointments.</li>
	<li style="margin-left:8px;">Ability to understand and follow specific instructions and procedures.</li>
	<li style="margin-left:8px;">Word processing and/or data entry skills.</li>
	<li style="margin-left:8px;">Skill in the use of operating basic office equipment. </li>
	<li style="margin-left:8px;">Ability to create, compose, and edit written materials.</li>
	<li style="margin-left:8px;">Organizing and coordination skills.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Promote the mission, vision, and values of Galen Medical Group.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Maintain confidentiality of all patient, medical, financial, and legal information.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Report to work on time and as scheduled.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Wear identification during work hours.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Represent the organization in a positive &amp; professional manner.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Ability to handle difficult situations involving patients, physicians, or others in a professional manner.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Comply with all organization policies and standards regarding ethical business practices.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Participate in performance improvement and continuous quality improvement activities.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Attend regular staff meetings and in-services as directed by your manager.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Consistently demonstrate the value of team concept.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Ability to manage multiple and simultaneous responsibilities.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Complete assignments efficiently and in a timely manner.</li>
	<li class="MsoNoSpacing" style="margin-left:8px;">Understands and abides by OSHA, HIPAA &amp; CLIA standards.</li>
</ul>

&nbsp;

EMR CODING AUDITOR

EMR Coding Auditor

2+ years healthcare experience; 1 year clinical experience preferred; must have procedural coder certification; strong analytical, verbal and written communication; associates degree preferred.

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