CMS-Certified Medical Coder & Audit Specialist

bcbsnc; United States; On-site; USD 46,000 - 73,000; Full time

Job summary

Blue Cross NC is seeking a qualified medical coder to analyze documentation and apply coding expertise to evaluate provider coding for CMS reporting.

You will use CMS HCC guidelines, collaborate with medical staff, and maintain audit records while ensuring accuracy and compliance in a fast-paced environment.

The role offers growth opportunities, comprehensive benefits, and a supportive team focused on quality and community health.

Qualifications

• High school diploma or GED required.
• At least 3 years of related field experience.
• Certified Professional Coder credential required.

Responsibilities

• Analyzes documentation and applies clinical coding to evaluate provider coding for CMS reporting.
• Uses CMS Hierarchical Condition Category (HCC) guidelines to ensure accurate coding.
• Maintains relationships with medical providers and staff to facilitate on-site review of records.
• Keeps audit tracking documents up to date and organized.

Skills

Experience in related field

Education

High school diploma or GED

Certified Professional Coder

Job description

Blue Cross NC is seeking a qualified medical coder to analyze documentation and apply coding expertise to evaluate provider coding for CMS reporting.

You will use CMS HCC guidelines, collaborate with medical staff, and maintain audit records while ensuring accuracy and compliance in a fast-paced environment.

The role offers growth opportunities, comprehensive benefits, and a supportive team focused on quality and community health.