Blue Cross NCHiring

Appeals Analyst, CPC Certified

  • Remote, United States
  • Mid-level
  • Posted 8 days ago
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In one line

Hybrid appeals role on a coding disputes team, researching and answering member and provider disputes within regulatory deadlines.

About the role

Suited to a certified coder who can read benefits and medical policy, weigh evidence and write clear decisions. Cases often involve confidential complaints from members, providers and regulators.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Skills
CPC, Appeals, Grievances, Medical terminology
Posted
21 Oct 2026
Last checked
27 Oct 2026

What you will do

  • Research and resolve appeals, coding disputes and grievances, then write responses that meet regulatory and accreditation rules
  • Explain plan benefits, policies and coding to members and providers
  • Pull clinical information using medical policy criteria and work with medical directors on clinical appeals

What they look for

  • Bachelor's degree, or five years of related experience in place of a degree
  • Three years of related experience
  • Certified Professional Coder credential within one year of starting

Benefits

  • Medical, dental and vision coverage, parental leave, 401k match and tuition reimbursement

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Claude

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Muse

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Message for Muse
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Muse is available in the US only for now.

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Questions about this job

Can I do this job remotely, and from which countries?

The posting lists it as remote for people in the United States.

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a mid-level role. The posting asks for: bachelor's degree, or five years of related experience in place of a degree; three years of related experience; certified Professional Coder credential within one year of starting. Skills it names include CPC, Appeals, Grievances, Medical terminology.

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