Healthcare Coding Analyst at Blue Cross and Blue Shield of Minnesota Eagan, MN

Job Duties

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an affirmative action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to any legally protected characteristic.

Position Title:

Healthcare Coding Analyst

Location:

Hybrid | Eagan, Minnesota

Career Area:
Customer Service/Operations

Role Designation:
Hybrid

Anchored in Connection:
Our hybrid approach is designed to balance flexibility with meaningful in‑person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in‑person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Blue Cross and Blue Shield of Minnesota is hiring a Healthcare Coding Analyst in Eagan, MN. In this role, you will be responsible for ensuring healthcare medical coding and reimbursement policies are implemented and integrated in all systems for accurate claims adjudication. Your work will include analyzing changes to medical code sets to determine impacts and necessary changes to current policies, assisting with data analysis and reporting needs related to coding policy decisions, and reviewing medical records to validate provider coding.

You will also represent the medical coding team on various Blue Cross project teams.

The candidate will have at least 3 years of prior coding experience and hold a certification in CPC, CCS, CCS‑P, or RHIT.

• Conduct in-depth research and analysis of appeals data and processes to identify trends and emerging issues, and recommend best practices for maximum performance.

• Research and recommend resolution and/or prepare written response for provider‑related coding appeals ensuring that federally and state mandated coding rules are followed and that the medical documentation supports such coding.

• Provide recommendations to leadership to modify reference materials and processes that do not fully satisfy regulatory or legal compliance related to coding.

• Provide recommendations to modify materials and processes that do not accurately follow our internal policies and contracted agreements or that have proven to be confusing or ineffective.

• Complete follow‑up activities to reflect change for compliance.

• Assist in communicating changes in Blue Cross coding and reimbursement policies to all lines of business, internal business teams, and contracted providers.

• Maintain Blue Cross Provider Policy and Procedure Manual relative to coding policy decisions and related reimbursement.

• Serve as a liaison to other divisions/departments (Health Management, Service, Claims) for coding policy and coding/payment issues.

• Direct and coordinate activities of designated coding projects through the project life cycle including needs assessment, project initiation, design, development, and implementation.

• Serve as a knowledge expert related to medical coding.

• Participate as a team member of cross‑departmental committees (e.g., Coding and Reimbursement, RICHIE, NAG, I‑team).

• 2+ years of related experience or a bachelor’s degree. All relevant experience, including work, education, transferable skills, and military experience, will be considered.

• 3 years of relevant health plan or provider office medical coding/claims and/or business analyst experience in a healthcare setting applicable to claims/coding.

• Possession of at least one of the following credentials – CPC, CCS, CCS‑P, RHIT.

• Expected to enroll in continuing education courses to maintain certification.

• Ability to apply critical thinking skills to coding policy interpretation and implementation.

• Ability to work independently; well organized and able to set priorities with minimal direction.

• Strong written and verbal communication skills.

• Strong PC skills; proficiency in Excel, Word, PowerPoint and…