Get Hired Faster With COMPANY_NAME!

Don't you ever think you landed here by any accident, You are here because you are searching for something bigger. You know what?

A better Job
A better Future
A better Knowledge
A better Paycheck
A greater Path to walk on.

And COMPANY_NAME is here to give you exactly what you've been missing for so long. The reality is that most job seekers chase job postings, but successful job seekers attract job offers by chasing the accurate information. Therefore, that's the shift COMPANY_NAME is going to help you make. Here are the top 10 ideas to up-skill yourself, so lean in to begin:

1: COMPANY_NAME Smart Tools and Direct Employer Connections Help Speed Up Your Hiring Process

COMPANY_NAME is a career-changing advantage that most seekers never get access to. Imagine...

Instead of applying for job after job and still not getting any callbacks, you suddenly bump into a tool that can do the heavy lifting for you.
Instead of wondering, "What do employers actually want?", you are getting insights straight from the employer's desk.
Instead of hoping your resume gets noticed, it’s kept on the table of decision-makers who are hiring right now.

That's the difference COMPANY_NAME makes. Our tools will let you reach employers directly, which automatically speeds up your hiring process.

2: With Better Matches, Real-time Job Alerts, and Direct Employer Responses, COMPANY_NAME Helps Many Candidates Secure Interviews and Job Offers Within 15 to 30 Days!

How does COMPANY_NAME make this possible?

On COMPANY_NAME, you get notified for roles aligned with your profile right from the start. When an employer posts a role that matches your qualifications and skills, you’ll know first. When you apply early, your chances of getting noticed and shortlisted increase by 20%.

COMPANY_NAME also offers direct employer responses—no more waiting for weeks. Here you engage with hiring managers who are actively looking for candidates.

When all these features combine in one place, you move from your first match to your first interview within days. And ultimately, from application to offer—all within 15 to 30 days!

3: The Type of Resume You Need to Get Priority Placement

With COMPANY_NAME, you don’t just need a resume—you need a strategy. A system that pushes your name to the right tables. We’ll show you exactly how the most successful candidates take initiative and get noticed.

4: Browse Full-Time, Part-Time, and Freelancing Roles With COMPANY_NAME

The job market isn’t one-size-fits-all—and your career shouldn’t be either. COMPANY_NAME gives you access to a wide range of opportunities including full-time, part-time, and freelancing roles all in one place.

5: COMPANY_NAME Helps You Grow Your Career

COMPANY_NAME provides insights, tools, and role-matching that help you find the right direction, the right skills, and the opportunities aligned with your ambition.

6: The Easiest Way To Find A Job

COMPANY_NAME cuts the noise, the endless scrolling, and the confusion. With accurate matches, direct employer connection, and real-time updates, you get a clear and simple path from application to interview.

7: Find Roles That Offer Growth, Culture & Benefits

COMPANY_NAME helps you find roles where you grow, feel supported, and thrive—not just survive. With us, you discover opportunities that elevate your professional life.

8: Get Support With Resume, Interviews & Career Planning

COMPANY_NAME provides expert guidance on resumes, interviews, and planning so employers instantly recognize your strengths and value.

9: Your Future Starts Today

COMPANY_NAME gives you everything you need—tools, guidance, and opportunities—to step forward confidently and begin a new chapter where your potential is seen and supported.

10: Get Hired Within 15 to 30 Days With COMPANY_NAME

COMPANY_NAME follows a smart, strategic, and proven approach that gets your profile noticed faster and moves you toward interviews and offers within 15 to 30 days.

Risk Adjustment Medical Coder

June 17, 2026

Pay Range:$65,600.00 - $98,400.00 Please email <a href="mailto:HR_Talent_AcquisitionTeam@bcbsri.org" target="_blank" rel="noopener noreferrer">HR_Talent_AcquisitionTeam@bcbsri.org</a> if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued.Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We’re dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. Why this job matters:Perform medical record reviews of Medicare Advantage members to ensure proper medical diagnoses are being submitted to Centers for Medicare & Medicaid Services (CMS) for accurate risk adjustment payments. Perform data validation of collected medical codes from both outpatient and inpatient settings. Assist with the review and perform on-site and remote retrieval of medical records for internal and external audits. What you will do: <ul><li>Perform risk adjustment data validation of Medicare Advantage member charts including outpatient and inpatient services provided by physicians. Ensure primary and secondary diagnoses are reported in accordance with CMS payment guidelines to ensure Plan receives accurate risk adjustment payments. Achieve team annual recovery goal targets.</li><li>Coordinate and schedule physician on-site and remote chart reviews with physicians and/or office staff in a professional manner. Evaluate physician documentation and chart coding to retrieve all primary and secondary diagnosis codes for each member chart. </li><li>Provide recommendations to physicians to incorporate and promote industry best practices. Distribute informational/educational correspondence as appropriate.</li><li>Identify errors through data validation; facilitate remediation with internal business areas. Assist and retrieve member information to correct informational errors as necessary.</li><li>Review claims data to validate member risk scores; gather documentation for CMS appeals if risk scores are challenged. </li><li>Analyze audit results to and be able to interpret those to leadership to inform coding policies.</li><li>Use NLP (Natural Language Processing) software to audit records, identifying codes to submit for capture and codes eligible for deletion.</li><li>Maintain expert industry knowledge as related to the risk adjuster process and coding regulations. Actively participate in physician coding review discussions.</li><li>Participate in the retrieval and review of medical documentation relevant to risk adjuster activity for internal and external audits. Serve as subject matter expert on coding initiatives and member chart review.</li><li>Participate in department initiatives and projects.</li><li>Perform other duties as assigned.</li></ul>What you need to succeed:<ul><li>Certified Professional Coder (CPC, CPC-H), or Certified Coding Specialist (CCS) designation; or an equivalent combination of education and experience</li><li>Three to five years of experience in medical claims review or claims processing</li><li>Three to five years of experience in quantitative or statistical analysis (preferably in health care)</li><li>Proven analytic experience using Microsoft Excel, database query capabilities and ability to evaluate data at various levels of detail</li><li>Proficiency in ICD-9/10-CM medical coding</li><li>Advanced analytical skills, with the ability to interpret and synthesize complex data sets</li><li>Good business acumen and political savvy</li><li>Knowledge of business process improvement techniques and strategies</li><li>Excellent verbal and written communications skills</li><li>Negotiation skills</li><li>Presentation skills</li><li>Decision-making skills</li><li>Good problem-solving skills</li><li>Ability to interface with employees at all levels</li><li>Ability to effectively navigate ambiguous situations with limited direction</li><li>Excellent organizational skills and ability to successfully prioritize multiple tasks</li><li>Ability to handle multiple priorities/projects</li></ul>The extras:<ul><li>Registered Nurse (RN)</li><li>Bachelor’s degree</li><li>Knowledge of ICD-9-CM, ICD-10-CM and CPT coding</li><li>Professional designations (e.g. CPC-H, or CPC-P, CRC)</li><li>Knowledge of Hierarchical Condition Category (HCC) payment model and American Hospital Association Official Coding Guidelines</li><li>Familiarity with hospital contract reimbursement</li></ul> Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:<ul><li>In-office: onsite 5 days per week</li><li>Hybrid: onsite 2-4 days per week</li><li>Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia </li></ul>Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.The law requires an employer to post notices describing the Federal laws. Please visit  <a href="https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal" target="_blank" rel="noopener noreferrer">www.eeoc.gov/know-your-rights-workplace-discrimination-illegal</a> to view the "Know Your Rights" poster.

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

DISCLAIMER