Subject Matter Expert - Analytics
Subject Matter Expert - Analytics
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Specialty Rules Analyst: (4 requirements)
Company Overview
Our company is a leading provider of healthcare solutions dedicated to improving patient outcomes and streamlining medical processes. We are committed to innovation excellence and providing top-notch services to our clients. Join our team and be a part of a dynamic and forward-thinking organization.
Position Overview:We are seeking an experienced and talented SME to join our Business specializing in US Healthcare Revenue Cycle Management. In this crucial role you will be responsible for development implementation and optimization of BI solutions that drive actionable insights and support informed decision-making within the healthcare revenue cycle processes.
The Data Analyst position will give you the following opportunities
Chance to learn new skills such as cleaning analyzing interpreting and displaying data using different approaches
uncovering key insights that lead to better-informed and successful decision-making
Opportunity to learn the transformation of raw data into meaningful statistics information and explanations
Responsibilities
- Analyze medical records to identify any edits that can potentially deny the claim based on ICD-10 CPT modifiers LCD NCD and all applicable coding guidelines.
- Understand which databases to access and research to provide/write an edit to a denied claim.
- Strong data analysis skills.
- Proficient in multi-specialties of medical coding especially in Pathology Radiology ED EM Surgery Anesthesia OBGYN Behavioral Health Maternal and Fetal monitoring.
- Certification from AHIMA or AAPC.
- Minimum of 4 years of working experience.
- Experience in managing coding denials of multispecialty is desirable.
Employment Type
Full Time
