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Payment Compliance Specialist at Blue Cross and Blue Shield of Kansas City - ApplyBlast

Payment Compliance Specialist

Blue Cross and Blue Shield of Kansas City

9 months ago

3.4 on Glassdoor

Baltimore, MD

Onsite

Full Time

Medior

1 applicant

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About this role

The Payment Compliance Specialist is a member of Blue KC’s Special Investigation Unit focused on ensuring payment integrity by validating clinical documentation, coding, and billing for medical claims. The role supports fraud, waste, and abuse detection efforts, contributes to program reporting, and represents the SIU with internal and external stakeholders. It helps maintain compliance with payer policies and regulatory standards.

Skills

Qualifications

AAPC CPCAHIMAAssociates DegreeCertified Fraud Examiner (CFE)Accredited Healthcare Fraud Investigator (AHFI)

About Blue Cross and Blue Shield of Kansas City

bluekc.com

Headquarters

Kansas City, Missouri, United States

Company Size

1001-5000 employees

Founded

1938

View Profile

Blue Cross and Blue Shield of Kansas City (Blue KC) is a health insurance provider dedicated to offering comprehensive health plans for individuals, families, and groups. With a focus on helping members live healthy and fearless lives, Blue KC provides a range of coverage options tailored to meet diverse needs. The company prides itself on being a trusted partner in health, renowned for its commitment to service and community engagement in the Kansas City area.