Responsible for reviewing and researching new code changes that are released by the Coding Authorities (AMA, CMS) for system implementation for PPO and HMO Commercial Business.

Preferences:

• Ability to analyze, investigate and organize ideas in defining and formulating solutions to mapping activities and other applicable areas

• Proficient in current industry standard PC applications and systems (e.g. Word, Excel and Microsoft Office)

• Ability to work independently, within a team environment and handle multiple priorities

• Great oral and written communication skills

• Other related skills and/or abilities may be required to perform this job.

• Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books

• RHIT or RHIA with specialty certification of CCS, CCS-P preferred

• Works collaboratively with Physicians and other team members

• Knowledge of PPO and HMO claim systems and benefits a plus.

Qualifications

• Bachelor's degree in related field

• Experience working with BCBSM/BCN benefits and/or claims preferred

• Previous experience working with NASCO, MOS and/or BCU systems preferred

Category Project Management

Function Information Technology

Req ID JN -102024-121656