JobMesh

Carr Analyst II

BlueCross BlueShield of Tennessee · Chattanooga, Tennessee, US

CARR is seeking a Coding Analyst II to support the Ancillary Coding & Reimbursement team.

Job description

CARR is seeking a Coding Analyst II to support the Ancillary Coding & Reimbursement team. This role is responsible for supporting coding and reimbursement processes across all lines of business, including ancillary claims review, contract development support, system configuration, code maintenance, medical policy, appeals and billing guidelines. The Analyst will work cross-functionally with Claims, Clinical Coding Review, Provider Operations, IT, and Network Management to support editing logic, provider disputes and appeals, and claim adjudication. This position also contributes to coding research, policy and procedure development, , while serving as a resource for coding-related inquiries and initiatives. The ideal candidate has experience in medical coding, with ancillary and DME billing knowledge preferred, and is able to work both independently and collaboratively across teams. Note: Sponsorship is not available for this role. Job Responsibilities: - Responsible for the research, design, analysis, recommendation, implementation, problem resolution, maintenance and coordination of coding and reimbursements. - Researches and prepares coding and reimbursement policies and procedur...