Sep 01, 2026

Remote Risk Adjustment Coder & HCC Expert

Job Description

CareFirst BlueCross BlueShield seeks an experienced Risk Adjustment Coding Specialist to support retrospective risk adjustment, RADV audits, and related coding functions. The role involves reviewing medical records, ensuring compliance with coding guidelines, and developing Commercial Risk Adjustment coding guidelines. The position requires 3 years of HCC coding experience, RHIT/RHIA preferred, and CCS/CCS-P or CRC upon hire. #J-18808-Ljbffr