Analyst/Risk Adjustment Coder - Remote

Overview

As an Analyst/Risk Adjustment Coder with Blue Cross Blue Shield Wyoming, you will ensure the accuracy of HCC codes within patient health information for members enrolled in risk adjusted health care plans, working closely with team members and leadership.

In Short

• Ensure accuracy of HCC codes in patient health information.
• Collaborate with team members, physicians, and leadership.
• Conduct HCC coding for ACA risk adjustment and RADV audits.
• Use standard coding systems such as ICD-10 and CPT.
• Adhere to CMS guidelines for coding.
• Participate in projects assigned by leadership.
• Work independently in coding applications and electronic medical records.
• Maintain high quality and accuracy in coding and analytics.
• Act as a “Brand Ambassador” for BCBSWY.
• Meet the educational and certification requirements for the role.

Requirements

• High School Diploma required.
• Certified Risk Adjustment Coder (CRC) certification required.
• At least three years of HCC coding and/or billing experience required.
• Five years of HCC coding and/or billing preferred.
• Familiarity with coding applications and electronic medical records systems.
• Ability to work independently and as part of a team.
• Strong attention to detail and accuracy in coding.
• Commitment to the mission and values of BCBSWY.

Benefits

• Best-In-Class Health Insurance at minimal to no-cost for employees.
• Annual merit increases and monthly performance-based incentives.
• Paid time off (PTO) and 10 paid holidays annually.
• 401(k) and life insurance options available.
• Wellness programs and flexible dress code.
• Support for physical, financial, and emotional wellness.
• Opportunities for growth and development within the organization.