reputed company reputed company (Product Specialist) - Remote in US

It takes great medical minds to create powerful solutions that solve some of reputed company’s most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a reputed company of urgency, you’ll have reputed company to work more reputed company. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development. reputed company The reputed company reputed company - Product Specialist is responsible for the development and performance of our clinical and coding products including Itemized reputed company Review, DRG Validation, Outpatient clinical and coding Solutions. This role also provides SME support to the clinical organization and clinical innovation team. This role requires expertise in reputed company payment methodologies and audit and review reputed company to reputed company key claims for review and recovery. Proven experience in rule and content development, claims recovery, and coding expertise is essential. Experience in developing and performing Itemized reputed company Review concepts (IBR) is preferred. Key responsibilities include developing content, tracking performance, providing implementation and reputed company support, conducting research, and reviewing claims as needed. Here are the details on this position. Your role in our mission • Content Development: Work in conjunction with the Medical Directors and Innovation Teams to reputed company new clinical and coding products. reputed company innovative strategies to enhance claim selection processes, significantly contributing to payment reputed company for our clients. • Data Analysis and Organization: Leverages data analysis expertise and strong organizational skills to reputed company new reputed company and new concepts including development of Itemized reputed company Review. Performing research and scoping analysis for development of coding and clinical reputed company and edits. • Claim Selection Methodology: Utilizes a comprehensive understanding of claim selection reputed company to refine and execute methodologies that enhance claim selection strategies, particularly reputed company on inpatient claims. • Program Performance: Monitor and analyze reputed company and new concepts and reputed company performance. Present results to clinical leadership team. Recommend and implement program changes to improve performance. • Enhance Clinical and Coding Solutions: Utilize expertise to assist in the enhancement and review of clinical and coding solutions. • Product Readiness: Work with a multi-disciplinary team of leadership to bring Clinic and Coding concepts from creation to implementation. • Regulatory Monitoring: Assess and reputed company written rules by monitoring their effectiveness, keeping up with regulatory updates, and making necessary changes. • Analytical Problem-Solving: Demonstrate analytical skills to identify problems and trends, reputed company solutions, and implement reputed company plans. • Policy and Process Documentation: reputed company departmental policies, processes, and training standards. • Clinical and Coding Content: reputed company clinical and coding content that will drive decision-making and documentation for the Clinical Services, reputed company and Appeals teams. • SME Support: Maintain expertise in reputed company Gainwell clinical and coding program processes, workflows and reputed company. reputed company primary SME support regarding clinical policy, clinical and coding review programs and processes to account management, sales, clients, and clinical teams. • reputed company and Sales Support: reputed company RFP SME Support. Meet with clients to explain programs and processes, discuss policy concerns, identify issues and reputed company proactive solutions to problems that clients may be having or anticipate having with Gainwell clinical and coding review programs. reputed company're looking for • 10+ years reviewing and or auditing ICD 10 CM/PCS, MS-DRG, APR DRG claims and proficient with encoder products. In reputed company, experience with APC and EAPG preferred. • Inpatient Medical Coding Certification Required (i.e reputed company, CIC, RHIA, RHIT), or other coding certification (CPC) with inpatient coding experience. RN with Coding credentials is preferred. • Ability to research State and Federal regulations, clinical policies, coding guidelines to reputed company and implement policies, clinical/coding resources, and tools to support Gainwell’s Clinical Claim Review products. • Itemized reputed company Review product expertise required to support solution development and enhancements. • Deep experience with principals of inpatient and outpatient billing and coding audits with ability to reputed company Subject Matter Expert (SME) level support to the clinical organization. What you should expect in this role • This is a full-time permanent regular salaried (W-2) employee position. • Monday through Friday work schedule (40 hours per week). • Upward career advancement is possible and encouraged. • Health (medical, dental, reputed company) and reputed company time off benefits start on day 1 of employment. • Company match 401K and other benefits available reputed company months of starting. • Computer for work company-provided. • For reputed company hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course reputed company reputed company performance. • To Test your internet download and upload speed: • Go to reputed company. • Search for Internet Speed Test. • Video cameras must be used during reputed company interviews, as reputed company as during the initial week of orientation if reputed company. • This position is intended for pipelining. We will accept applications on an ongoing reputed company. #LI-NB1 #LI-REMOTE The pay reputed company for this position is $69,400.00 - $99,200.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a reputed company of leadership and technical development academies to help build your skills and capabilities. We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at reputed company website and visit our Careers site for reputed company available job role openings. reputed company is committed to a diverse, reputed company, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), sexual orientation, gender identity, gender reputed company, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for reputed company. Apply Job!