Blue Cross and Blue Shield of Kansas City
Medical Coding & Reimbursement Analyst
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Job Description
- Req#: R6751
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Highly competitive total rewards package, including comprehensive medical, dental, and vision benefits
- Annual incentive bonus plan based on company achievement of goals
- Opportunities for professional development, mentorship, and tuition reimbursement
- Paid parental leave and adoption leave with financial assistance for adoption
- Employee discount program
- Supportive work environment with a focus on employee success
What to Expect (Job Responsibilities):
- Analyze and provide recommendations related to coding, bundling, modifiers, and clinical edits
- Participate in provider/client/network meetings and assist with provider education
- Review complex operative reports and ensure appropriate reimbursement practices
- Develop coding recommendations and payment policies in line with mandates and policies
- Collaborate with other departments to drive accurate and timely initiatives related to medical codes
What is Required (Qualifications):
- Bachelor’s degree in Healthcare Administration, Business, Information Systems, or a related field; OR five (5) years of relevant experience
- Certified Coder with AHIMA or AAPC
- Minimum of 3 years of professional experience in operational and/or analytical processes within healthcare or managed care
- Ability to read, analyze, and interpret business and technical documents
- Intermediate knowledge of medical claims processing and Microsoft Office
How to Stand Out (Preferred Qualifications):
- 5 years of professional experience in operational and/or analytic processes within the healthcare industry or managed care
- Strong understanding of core systems used in the organization, such as Facets and Claims Xten
- Familiarity with the employer's claims, reimbursement, and benefit structures
#HealthcareServices #MedicalCoding #CareerOpportunity #ProfessionalDevelopment #EmployeeBenefits
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
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