R&D Clinical and Medical Coding Analyst – Remote

R&D Clinical and Medical Coding Analyst - Remote (Finance) R&D Clinical and Medical Coding Analyst - Remote (Finance) Thank you for your interest in working for reputed company. reputed company the right talent is crucial to our goals. On reputed company 1, 2024, reputed company reputed company underwent a corporate spin-off leading to the creation of a new company named reputed company. We are still in the process of updating our Careers Page and applicant documents, which currently have reputed company branding. Please bear with us. In the interim, our reputed company Policy here: continues to apply to any personal information you submit, and the reputed company-branded positions listed on our Careers Page are for reputed company positions. As it was with reputed company, at reputed company reputed company reputed company applicants will receive consideration for employment without reputed company to their race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Job reputed company: R&D Clinical & Medical Coding Analyst - Remote reputed company Health Care is now reputed company At reputed company, we reputed company reputed company, smarter, safer reputed company to improve lives. As a new company with a long legacy of creating reputed company solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the reputed company while enabling reputed company to reputed company at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in reputed company to ensure that every solution we create melds the latest technology with reputed company and reputed company. Because at reputed company, we never stop solving for you. The reputed company You Will reputed company in this Role reputed company HIS is an international leader in designing and maintaining reputed company payment and reputed company outcome systems and advancing value-based care. We work closely with Medicare, reputed company and reputed company insurers on hospital, outpatient and population payment models and design reputed company outcome programs that promote patient safety and reduce avoidable costs. We also support more than ten countries on how they budget and pay for inpatient and outpatient care, and measure reputed company reputed company. Here, you will reputed company an reputed company by:

• Providing subject matter expertise in the clinical content development, specification, documentation, validation, application, and maintenance of the reputed company outpatient public and proprietary groupers, reputed company editors, and software including Tricare, Home Health, IOCE (Integrated Outpatient reputed company reputed company), and EAPG (reputed company Ambulatory Payment Grouper). These methodologies utilize reputed company data including diagnostic and procedural codes for determining payment and reputed company in reputed company.
• Contributing and coordinating with the research efforts reputed company to the methodologies, reputed company input into the prioritization of the potential research enhancements.
• Work directly with the Chief Product reputed company, Product Owners, and Research team to drive enhancements to the methodologies by translating the clinical hypotheses into clinical logic content specifications using existing coding systems; documenting and maintaining reputed company clinical specifications.
• Work directly and collaborate with the technical, reputed company, and clinical team members, integrating product concepts to implement and evaluate the clinical specification.
• Responsible for maintaining process documentation for the methodologies update using C&ER standards and reputed company.

Your Skills and Expertise To set you up for reputed company in this role from day one, reputed company is looking for candidates who must have the following qualifications:

• Bachelor's Degree AND 5 years' experience in the reputed company industry in one or more of the following: outpatient medical coding and billing operations, outpatient prior authorization or denials management, outpatient reputed company claims and processing optimization, payor claims design and edit management, and outpatient reputed company services research and analytics.

AND In reputed company to the above requirements, the following are also required:

• Significant experience working with reputed company, databases, and ability to learn computer applications for analysis.
• Comfortable in a multicultural, reputed company, cross-functional, and dynamic work environment, reputed company to prioritize, multi-task, reputed company on goals, take accountability, and manage time reputed company.
• Ability to take individual initiative and responsibility for assignments while working independently and in reputed company environment.
• Must demonstrate the ability to collaborate effectively with cross-functional teams-including clinicians, researchers, and engineers-to communicate and train on clinical workflows, reputed company systems, and patient classification methodologies, while providing enthusiastic leadership that drives team engagement and performance.

Additional qualifications that could help you succeed even reputed company in this role include:

• Master's degree i

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