Associate''s degree in medical coding, health information technology or another closely related field preferred.
Working knowledge and proficiency in medical terminology, anatomy and physiology.
Be familiar and proficient in basic and advanced ICD-10-CM, CPT and HCPCS coding, Medicare guidelines and compliance.
Experience and knowledge of HCC Coding and Risk Adjustment experience a plus.
Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality.
Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance.
Compile and analyze operational data to identify and resolve business problems.
Utilize and maintain available reporting systems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
Provide leadership team with status updates on projects and issues.
Communicate and recommend policy changes to achieve project objectives. Assist in documenting departmental procedures.
Create and present reports and presentations to display operational data and propose business changes.
Provide support to both internal departments and external entities by answering questions, supplying information and training.
Participate on special projects or workgroups as assigned.
"Qualifications"
Bachelor''s Degree in a related field is preferred.
Two (2) years of experience in a related field is required.
Effective verbal, written communication and interpersonal skills.
Ability to work independently or in a team environment and interact with all levels of the organization.
Effective analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness.
Organizational skills and ability to prioritize; must be able to coordinate multiple activities with varying timelines.
Proficient in Microsoft Office suites.
Ability to develop and maintain effective working relationships.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
Numbers & Facts
Location
Detroit, MI
Industry
Insurance
Company Size
2,000 to 2,499 employees
Website
https://www.bcbs.com/about-us/careers
About Company
At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
Skills
Analysis Skillsunmatched
Anatomyunmatched
Communication Skillsunmatched
Current Procedural Terminology (CPT)unmatched
Customer Support/Serviceunmatched
Data Analysisunmatched
Documentationunmatched
Establish Prioritiesunmatched
Health Information Technologyunmatched
Healthcare Common Procedure Coding System (HCPCS)unmatched
ICD-10unmatched
Interpersonal Skillsunmatched
Leadershipunmatched
Medical Codingunmatched
Medical Terminologyunmatched
Medicareunmatched
Microsoft Officeunmatched
Operational Auditunmatched
Operations Processesunmatched
Organizational Skillsunmatched
Physiologyunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Procedure Developmentunmatched
Process Improvementunmatched
Product Programsunmatched
Riskunmatched
System Testunmatched
Systems Maintenanceunmatched
Team Playerunmatched
Test Plan/Scheduleunmatched
Writing Skillsunmatched
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