Facility Coding & Reimbursement Analyst II

BlueCross BlueShield of Tennessee; Colorado; On-site; USD 65,000 - 95,000; Full time

Job summary

BCBST BlueCross BlueShield of Tennessee, Inc. is seeking a Coding Analyst II to support the Facility Coding & Reimbursement Team.

The role covers facility coding and reimbursement across all lines of business, including contract development, system configuration, code maintenance, policy implementation, claim editing, provider disputes, appeals, and adjudication. The ideal candidate will have facility coding experience (inpatient/outpatient), claims processing, and knowledge of MS-DRGs, APCs,

Qualifications

• Bachelor's Degree or equivalent work experience required.
• 3 years - Experience with Medical/Clinical Coding.
• Coding certification from a nationally recognized coding organization is required; if not certified, must obtain within two years.

Responsibilities

• Research and coordinate coding and reimbursements to support accuracy and compliance.
• Research and prepares coding and reimbursement policies and billing guidelines.
• Coordinate data collection for coding, reimbursement, and billing changes; advisory on coding issues.

Skills

Coding certification

Independent worker

Microsoft Office

Communication skills

Team player

HIPAA knowledge

Education

Bachelor's Degree or equivalent

Tools

Microsoft Office

Job description

BCBST BlueCross BlueShield of Tennessee, Inc. is seeking a Coding Analyst II to support the Facility Coding & Reimbursement Team.

The role covers facility coding and reimbursement across all lines of business, including contract development, system configuration, code maintenance, policy implementation, claim editing, provider disputes, appeals, and adjudication. The ideal candidate will have facility coding experience (inpatient/outpatient), claims processing, and knowledge of MS-DRGs, APCs,