About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

Blue Cross and Blue Shield of Minnesota is hiring a Senior Healthcare Coding Analyst in Eagan, MN. In this role, you will collect and analyze healthcare coding and reimbursement data to identify trends, validate audit findings, and support data-driven decision-making. You’ll provide strategic recommendations to leadership based on emerging technologies, regulatory changes, and program needs. As the primary contact for business leadership, you’ll lead and coordinate internal and external activities related to medical coding projects. This position plays a key role in supporting coding-related initiatives that align with evolving industry requirements.

The ideal candidate has at least five years of coding experience, holds credentials such as RHIT, CCSP, CPC, or CCS, and thrives in independent work, Excel analysis, and navigating ambiguity.

Your Responsibilities

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

• Provide recommendations to leadership to modify reimbursement policies aligning with changing trends, emerging technologies, and other regulatory developed programs related to healthcare reform.

• Serve on external committees representing the company's position on Medical Coding requirements.

• Bring information learned through those committees back to the company's project teams and identify crucial issues impacting those teams.

• Serve as a subject matter expert to other divisions/departments for coding policy and coding/payment issues.

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

• Research and communicate/implement resolutions related to coding assuring that federally and state mandated coding rules are followed.

• Directs and coordinates activities of cross-departmental committees (e.g. Coding and Reimbursement).

• Assumes mentor and role model responsibilities across all Provider Finance and Administrative Simplification functions.

Required Skills and Experience

• 5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.

• At least 1 of the following Certifications: CPC, CCS, CCS-P, RHIT

• Incumbent is expected to enroll in continuing education courses to maintain certification.

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

• Ability to work independently, self-directed and with team members.

• Ability to lead team members to resolve complex issues and mentor others on the team.

• Strong PC skills; Excel, Word, PowerPoint and internet-based programs.

• Ability to maintain relationships with internal and external stakeholders, coding experts, and others.

• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Bachelor's degree

• Enhanced knowledge of claim processing systems

• Prior ideation work

• Ability to foster strong cross-functional relationships

• Additional Certifications such as CPMA, CIC, RHIA

Compensation and Benefits:

Pay Range: $77,200.00 - $102,300.00 - $127,400.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

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.

Equal Employment Opportunity Statement

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, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.