Coding Solutions Specialist

Blue Cross Blue Shield of Wyoming • Cheyenne, WY

8d • Hybrid

About The Position

Step into a career where your expertise truly matters. As a Coding Solutions Specialist at BCBSWY, you’ll join an incredible team of sharp, collaborative professionals dedicated to keeping our medical policy coding, system programming, and appeals processes running with accuracy, efficiency, and innovation. In this dynamic role, you’ll take the lead on reviewing, researching, and implementing system updates based on claims, reimbursement guidelines, medical policies, and other key resources. Your work ensures that determinations on medical claims and authorizations are not just correct—but confidently backed by data and thoughtful analysis. Success here means bringing your critical thinking, your ability to partner with both clinical and non‑clinical teammates, and your talent for clear, effective communication. You’ll also flex your tech skills as you learn and navigate a variety of software tools that support our coding and review processes.

Requirements

• Associate's degree or equivalent.
• Critical thinking skills.
• Ability to partner with both clinical and non-clinical teammates.
• Talent for clear, effective communication.
• Tech skills to learn and navigate software tools.

Nice To Haves

• Blue Cross Blue Shield experience.
• Backgrounds in data analytics, appeals, or claims processing.
• Leadership, mentoring, or team-lead experience.

Responsibilities

• Reviewing, researching, and implementing system updates based on claims, reimbursement guidelines, medical policies, and other key resources.
• Ensuring that determinations on medical claims and authorizations are correct and backed by data and thoughtful analysis.
• Utilizing critical thinking skills.
• Partnering with both clinical and non-clinical teammates.
• Communicating clearly and effectively.
• Learning and navigating a variety of software tools that support coding and review processes.

Benefits

• Best-In-Class Health Insurance at minimal to no-cost for BCBSWY employees
• Highly competitive compensation
• Annual compensation program review for competitive market match
• Eligible for annual merit increases
• Monthly incentives based on individual and company performance
• Medical, dental, vision insurance
• 401(k)
• Life insurance
• Paid time off (PTO)
• 10 paid holidays in addition to PTO annually
• 8 paid volunteer hours
• Various wellness programs
• Dress code of "Dress for Your Day!" (jeans may be allowed depending on role)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree