Provider Educator & Medicare Risk Adjustment Coder (W@H SC, NC, GA, TN, FL)

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! We are currently hiring for a Provider Educator & Medicare Risk Adjustment Coder to join BlueCross BlueShield of South Carolina . In this role as a Provider Educator & Medicare Risk Adjustment Coder, you will monitor and collect Medicare Stars data to improve health plan ratings, conduct specific medical record reviews, analyze findings, make recommendations for corrective actions, prepare formal documentation for compliance with applicable standards/regulations, and perform Health Plan Employer Data Information Set data collection (HEDIS), and National Committee for Quality Assurance (NCQA) accreditation activities. Description Location This position is full-time (40 hours/week) Monday-Friday with an 8-hour shift between 7:00am-9:00pm and will be fully remote. Th