Medical Coding Reviewer - Risk Adjustment

2+ years related work experience

High school diploma or GED

Required active Certified Professional Coder American Association of Professional Coders CPC and/or CCSP OR (AAPC) or American Health information Management Association (AHIMA)

Ability to work independently in a remote work environment.

Proficient with ICD-10-CM Guidelines for coding and reporting.

Previous work experience in production-based environment.

Strong understanding of medical terminology, abbreviations, body systems/anatomy, physiology and concepts of disease processes.

Intermediate level of Microsoft Office proficiency (Word, Excel, Outlook, PowerPoint).

CRC - Certified Risk Adjustment Coder from American Association of Professional Coders (AAPC)

Coding or auditing experience in a Provider Group, Outpatient coding setting or Health Plan.

Knowledge of Medicare Advantage and/or Affordable Care Act (ACA-Commercial) programs.

Organizational skills, working effectively in a multi-task-based environment, and with an ability to work both independently and collaboratively.

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects.

Jobs are sedentary if traversing activities are required only occasionally.

As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

To support your wellbeing, comprehensive benefits are offered.

As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan including employer match
• Paid time off, volunteer time off, 10 holidays and 2 well-being days
• Additional voluntary benefits available; and a comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws.

may vary based on the state in which work is performed.

for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation.

We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Typical Hourly Offer/Pay Range: $28 - $34

Hourly Pay Range: $28 - $45 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission.

All qualified applicants will receive consideration for employment.