
Job Overview
Location
Tennessee, USA
Job Type
Full-time
Category
Operations Manager
Date Posted
March 5, 2026
Full Job Description
📋 Description
- • Join the esteemed Risk Adjustment Medical Record Retrieval team at BlueCross BlueShield of Tennessee (BCBST) as a Medical Record Retrieval Specialist in Nashville, TN.
- • This pivotal role involves actively traveling to local provider offices within the Nashville area to meticulously acquire essential medical records, playing a crucial part in ensuring the accuracy and completeness of our risk adjustment data.
- • You will be instrumental in the process of obtaining medical records, which are vital for accurate risk adjustment coding and analysis, directly contributing to the financial health and operational efficiency of BCBST.
- • A significant aspect of your responsibility will be the remote and in-person downloading of medical records from various Electronic Medical Record (EMR) systems, requiring a blend of technical proficiency and on-site engagement.
- • You will be tasked with loading acquired medical records into the BCBST coding system, ensuring each record is accurately linked to its corresponding chart ID for seamless data management.
- • Beyond direct retrieval, you will contribute to the quality assurance process for medical records, helping to maintain the highest standards of data integrity.
- • This role offers the opportunity to schedule appointments with healthcare providers, demonstrating strong organizational and interpersonal skills to facilitate smooth record acquisition.
- • You will be expected to participate in special projects as directed by management, providing flexibility and a willingness to contribute to broader team objectives.
- • A key component of this position is regular local travel to provider offices, requiring you to be adaptable and comfortable navigating the Nashville area.
- • Occasional overnight stays may be necessary to fulfill retrieval duties in more distant locations, necessitating flexibility in your travel arrangements.
- • While the position is designated as fully remote, the requirement for regular travel to provider offices in the Nashville area is a core function of the role.
- • You will be responsible for ensuring all necessary immunizations and medical tests are up-to-date, as may be required for access to certain healthcare facilities.
- • This role demands a proactive approach to managing your schedule, balancing remote tasks with on-site visits efficiently.
- • You will act as a crucial liaison between BCBST and healthcare providers, fostering positive and professional relationships.
- • The ability to meticulously review and organize medical documentation is paramount to success in this position.
- • You will leverage your familiarity with EMR systems to efficiently extract and transfer patient data.
- • Your administrative experience in a clinical setting will be invaluable in understanding the nuances of medical record handling and provider office workflows.
- • This position requires a high degree of trustworthiness and discretion, as you will be handling sensitive patient information.
- • You will contribute to a team dedicated to ensuring BCBST has the most accurate and up-to-date information for risk adjustment purposes.
- • The role provides an excellent opportunity to gain in-depth knowledge of healthcare data management and risk adjustment methodologies within a leading insurance provider.
- • Success in this role hinges on your ability to work independently, manage your time effectively, and maintain a high level of accuracy in all tasks performed.
- • You will be a key player in a dynamic team, contributing to the critical function of medical record retrieval that underpins BCBST's operational success.
- • The position requires a commitment to upholding BCBST's standards of excellence in data management and patient information handling.
- • Your adaptability and willingness to travel will be essential in meeting the demands of this field-based role.
- • You will be an integral part of a process that directly impacts the quality of care and financial stability of the organization.
- • This role is ideal for an organized, detail-oriented individual with a passion for healthcare administration and data integrity.
- • You will be expected to maintain a valid driver's license and adhere to the BCBST Driver Safety Program guidelines if operating a vehicle for company business.
- • The ability to communicate effectively with diverse groups of healthcare professionals is a must.
- • You will be responsible for ensuring the timely acquisition of medical records to meet critical deadlines.
- • This role offers a unique blend of remote work flexibility and essential on-the-ground responsibilities, providing a varied and engaging work experience.
Skills & Technologies
Remote
About BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee is the largest health-benefit plan company headquartered in the state, providing medical, dental, vision, and Medicare Advantage coverage to individuals, employers, and government programs. Founded in 1945 as a nonprofit mutual insurance company, it administers benefits for more than 3 million members through statewide provider networks, care-management programs, and digital health services. The company also engages in community health initiatives, preventive-care outreach, and value-based reimbursement models to improve outcomes and manage costs across Tennessee.



