Claims Reimbursement Analyst

Health Care Service Corporation

Claims Reimbursement Analyst programming claims auditing logic at HCSC. Responsible for software implementation and maintenance, directly reporting to the Manager Professional Reimbursement Programs.

Posted 7/17/2026full-timeRemote • Illinois • 🇺🇸 United StatesJuniorMid-Level💰 $55,900 - $123,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in programming and implementing claims auditing logic, with a strong foundation in professional coding structures and medical practice patterns. Proficient in analytical and quantitative skills to support effective auditing processes.

Highest-signal resume keywords

Claims Auditing LogicProfessional Coding StructuresHIM Certification (RHIT, RHIA, CCS, CCS-P, CPC, CPC-A, CPC-P)Analytical SkillsCommunication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

ProgrammingCode Auditing SoftwareClaims AuditingMedical Practice PatternsPayment Structures

Soft Skills

Interpersonal CommunicationVerbal CommunicationWritten CommunicationResearch Skills

Certifications & Qualifications

RHITRHIACCSCCS-PCPCCPC-ACPC-P

Industry Keywords

Health Care IndustryClaims AuditingProfessional Coding

About the role

Key responsibilities & impact

Responsible for programming and implementing Enterprise claims auditing logic under the direction of the Manager Professional Reimbursement Programs
Assists in the implementation, updates, and maintenance of code auditing software.

Requirements

What you’ll need

Associate degree, OR 2 years’ experience in the health care industry
One of the following HIM certification: RHIT, RHIA, CCS, CCS-P, CPC, CPC-A, CPC-P (or acquired within 24 months of hire)
Experience working with professional coding structures and claims auditing logic
Knowledge of medical practice patterns, professional coding, and payment structures
Clear and concise interpersonal, verbal, and written communication skills
Analytical, research and quantitative skills.

Benefits

Comp & perks

health and wellness benefits
401(k) savings plan
pension plan
paid time off
paid parental leave
disability insurance
supplemental life insurance
employee assistance program
paid holidays
tuition reimbursement