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Claims Editing Software Jobs (NOW HIRING)

The Church of Eleven22

Media Producer

Jacksonville, FL · On-site

Proficiency with industry-standard editing software for short-form documentary content * Strong ... legal claims against church bodies by staff members who perform religious functions. All church ...

The Church of Eleven22

Media Producer

Jacksonville, FL · On-site

Proficiency with industry-standard editing software for short-form documentary content * Strong ... legal claims against church bodies by staff members who perform religious functions. All church ...

Elevance Health

Manager II Technology

Grand Prairie, TX · On-site

$127K - $191K/yr

Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...

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Claims Editing Software information

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How much do claims editing software jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for claims editing software 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 Editing Software vs Claims Adjuster?

FeatureClaims Editing SoftwareClaims Adjuster
Primary RoleSoftware tool for reviewing and correcting insurance claims dataHuman professional evaluating and settling insurance claims
Required SkillsTechnical knowledge of insurance policies, data analysisCommunication, negotiation, assessment skills
Work EnvironmentOffice-based, computer-focusedField and office-based, client interaction
CertificationsNone typically required, software proficiency preferredAdjuster licenses, certifications often required

Claims Editing Software is a digital tool used to review and correct insurance claims data, streamlining the claims process. In contrast, a Claims Adjuster is a human professional who evaluates claims, negotiates settlements, and interacts directly with clients. While Claims Editing Software enhances efficiency, Claims Adjusters provide the critical judgment and personal assessment needed in claims processing.

Is claims editing software a stressful job?

Claims editing software roles can be stressful due to the need for accuracy, attention to detail, and meeting deadlines in a fast-paced environment. The job often requires strong analytical skills and familiarity with insurance policies, which can add to the workload and pressure.
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What cities are hiring for Claims Editing Software jobs?

Cities with the most Claims Editing Software job openings:

What states have the most Claims Editing Software jobs?

States with the most job openings for Claims Editing Software jobs include:

What job categories do people searching Claims Editing Software jobs look for?

The top searched job categories for Claims Editing Software jobs are:

Claims Editing Software jobs near you
Infographic showing various Claims Editing Software job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 8% Part Time, and 4% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.

Senior Medical Coding Analyst

Blue Cross Blue Shield of Minnesota

Eagan, MN • On-site

$90K - $120K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Blue Cross Blue Shield Of Minnesota rating

7.1

Company rating: 7.1 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

250th of 310 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
We are seeking an experienced Senior Business Analyst - Medical Coding Configuration to support Medicaid claims processing and payment integrity initiatives. This role focuses on analyzing, configuring, and maintaining medical coding and claims editing rules that drive claim adjudication outcomes, including payment, denial, and pended claim scenarios. The ideal candidate will have deep expertise in healthcare claims processing, medical coding methodologies, and claims editing configuration, with hands-on experience in Optum CES (Claims Editing System) and/or FACETS.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
Teleworker
Role designation definition:
  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.
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.
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