Coding Specialist
big-leap-health
Coding Specialist
bcbsnc· NC Health Affiliates LLC DBA Blue Cross NC
About this role
Job Description
The Coding Specialist will use clinical and coding expertise to analyze medical records and charts in relation to provider coding. You will identify physician practices with complex coding patterns and report relevant data to the Centers for Medicare and Medicaid Services (CMS).What You'll Do
Analyzes necessary documentation, including medical records/charts, and applies clinical coding expertise to evaluate appropriateness of provider coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS).
Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category (HCC) payment methodology.
Develops and maintains professional working relationships with Medical Providers and their staff necessary to facilitate onsite review of medical records.
Maintains documents for tracking audit results, status of reviews etc.
What You Have
High school diploma or GED
3+ years of experience in related field.
Certified Professional Coder.
Bonus Points
Experience reviewing and assigning medical codes, preferably in a health insurance, claims, payment integrity, or reimbursement environment
Strong understanding of Emergency Department (ED/ER) coding and medical claim review processes
Ability to work independently while maintaining high levels of productivity and accuracy
Demonstrated success in a fast-paced, production-oriented environment and adaptability to continuous change.
Experience working under quality review standards with a focus on accuracy and compliance
What You’ll Get
The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.
Frequently Asked Questions
Is the salary disclosed for the Coding Specialist position at bcbsnc?
The salary for this Coding Specialist role at bcbsnc is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Is the Coding Specialist job at bcbsnc remote?
Yes, this Coding Specialist position at bcbsnc is remote, with team members based in Remote Flex - North Carolina. You can work from home or anywhere in the supported regions.
Is the Coding Specialist role at bcbsnc full-time or part-time?
This is listed as a Full time position. It is posted as a Coding Specialist role in the NC Health Affiliates LLC DBA Blue Cross NC department at bcbsnc.
Which team or department does the Coding Specialist at bcbsnc belong to?
This Coding Specialist position is part of the NC Health Affiliates LLC DBA Blue Cross NC department at bcbsnc. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Coding Specialist position at bcbsnc?
Click the "Apply Now" button on this page. You will be redirected to bcbsnc's official application portal hosted on workday where you can submit your application directly.
When was the Coding Specialist job at bcbsnc posted?
This Coding Specialist position at bcbsnc was posted on Sep 9, 2026. Apply as soon as possible — early applications are often reviewed first.
Coding Specialist
bcbsnc
You'll be redirected to bcbsnc's official application page on Workday.