Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with: All levels of BCBSLA personnel; other insurance carriers, agencies and professional organizations; other Blue Cross Plans; physicians and their office personnel; hospital and allied provider administration and personnel; Blue Cross subscribers; medical/surgical suppliers; attorneys; medical specialty organizations (i.e. American College of Obstetric and Gynecology); national medical coding associations (i.e. American Academy of Professional Coders, AHIMA, AMA); Blue Cross Association and CMS (Medicare). Experience with provider billing practices, American Medical Association coding guidelines, Correct Coding Initiative edits, Physician Specialty guidelines, BCBSLA reimbursement programs, provider agreements, claims adjudication processes, and regulatory agency policies (CMS/HCFA, DOI, State regulations) preferred.