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Claims Edit Jobs (NOW HIRING)

Revenue Integrity Specialist

Reno, NV

$82K - $82K/yr

Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...

Lead Billing Specialist

Tucson, AZ · On-site

$17.75 - $22.75/hr

Musthavea minimum of 3yearsofexperienceworking inlargemedicalpractice and/or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit/correction ...

Revenue Integrity Specialist

Reno, NV · On-site

$25.66 - $35.92/hr

Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...

Lead Billing Specialist

Tucson, AZ · On-site

$17.75 - $22.75/hr

Musthavea minimum of 3yearsofexperienceworking inlargemedicalpractice and/or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit/correction ...

Revenue Integrity Specialist

Reno, NV

$82K - $82K/yr

Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...

Lead Billing Specialist

Tucson, AZ · On-site

$17.75 - $22.75/hr

Must have a minimum of 3 years of experience working in large medical practice and/or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit ...

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Claims Edit information

See salary details

$13

$21

$28

How much do claims edit jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for claims edit in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is the difference between Claims Edit vs Claims Examiner?

AspectClaims EditClaims Examiner
CredentialsTypically requires insurance or claims processing certificationsRequires similar certifications, often with additional insurance licensing
Work EnvironmentPrimarily office-based, focusing on reviewing and editing claimsOffice-based, reviewing and approving insurance claims
Industry UsageCommon in insurance companies, third-party administratorsCommon in insurance carriers, government agencies
Search & Comparison IntentOften compared for claims processing rolesOften compared with Claims Edit for claims review positions

Claims Edit professionals focus on reviewing and correcting insurance claims for accuracy, while Claims Examiners evaluate and approve or deny claims based on policy coverage. Both roles require similar certifications and work environments, but Claims Examiners have a broader responsibility for decision-making in the claims process.

More about Claims Edit jobs
What cities are hiring for Claims Edit jobs? Cities with the most Claims Edit job openings:
What states have the most Claims Edit jobs? States with the most job openings for Claims Edit jobs include:
Senior Business Analyst - Medical Coding Configuration

Senior Business Analyst - Medical Coding Configuration

Blue Cross and Blue Shield of Minnesota

Eagan, MN • On-site

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago


Blue Cross Blue Shield Of Minnesota rating

5.3

Company rating: 5.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

270th of 281 rated insurance


Job description

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'll Have
As a Senior Business Analyst, you will work on Optum CES (Claims Edit System) and be responsible for the analysis, development, support, reporting and coordination of business workflow automation and to implement efficient business processes at an enterprise level for Payment Integrity coding configuration.What You'll Do
  • Conducts in-depth research and analysis.
  • Identifies trends, emerging issues and recommends best practices to ensure maximum results and develops metrics.
  • Documents metrics and process changes.
  • Effectively analyzes, designs, develops, tests, debugs, implements, maintains and/or enhances new or existing systems through reporting and documentation.
How You'll Do It
  • Participate in and coordinate individual projects and related activities to ensure project progresses on schedule.
  • Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
  • Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
  • Responsible for representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
  • Serves as senior subject matter expert associated with content, processes, and procedures.
  • May lead project teams and may provide training to lower level staff to achieve project milestones and objectives.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 5+ years of related information technology professional experience.
  • Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience
  • Optum CES (Claims Edit System) experience
  • 5+ years of medical coding experience in lieu of Information technology experience.
  • FACETS platform experience.
  • Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
  • Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
  • Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
  • Proficiency with business technology platforms, systems, software, and tools.
  • Understanding of business operations, processes, or domain context.
  • Ability to analyze information and support business decisions, solutions, or process outcomes.
Role Designation
Hybrid
Role designation definition:
  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.

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.
Compensation and Benefits
$90,800.00 - $120,300.00 - $149,800.00 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.
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.
Physical requirements.

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