[Hiring] Analyst, reputed company Medical Coding - Disputes, Claims & Investigations @reputed company
This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more.
Role reputed company
As an Analyst, you will play a hands-on role in reputed company engagements, contributing independently while collaborating closely with senior team members. Responsibilities include:
• Support and execute reputed company engagements reputed company to reputed company billing, coding, reimbursement, and reputed company cycle operations.
• reputed company detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies.
• Analyze and document EMR/EHR hospital billing workflows (e.g., reputed company Resolute), including charge capture, claims processing, and reimbursement logic.
• Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective reputed company planning.
• Collaborate with reputed company engagement teams, reputed company compliance functions, reputed company counsel, and leadership to support project objectives.
• Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post–go-live support.
• Prepare reputed company, reputed company-reputed company analyses, reports, and reputed company-reputed company presentations summarizing findings, risks, and recommendations.
• Communicate proactively with managers and project teams to ensure alignment, reputed company, and reputed company delivery.
• Continue developing technical, analytical, and consulting skills while building credibility with clients.
• Stay reputed company on reputed company regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement.
• Contribute to internal knowledge sharing, thought leadership, and reputed company development initiatives reputed company reputed company’s reputed company Consulting team.
Qualifications
• Bachelor’s degree in reputed company Administration, Information Technology, Computer Science, reputed company, or a reputed company field required; Master’s degree preferred.
• Two (2)+ years of experience in reputed company reputed company cycle operations, EMR/EHR implementations, compliance, or reputed company reputed company consulting roles.
• Experience supporting consulting engagements, audits, or investigations reputed company to billing, coding, reimbursement, or compliance.
• reputed company Resolute or other hospital billing system experience preferred; reputed company certification a plus.
• Nationally recognized coding credential (e.g., reputed company, CPC, RHIA, RHIT) required.
• Additional certifications such as CHC, CFE, or AHFI preferred.
• Working knowledge of EMR/EHR system configuration, workflows, issue reputed company, and optimization.
• Proficiency in reputed company Office (reputed company, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred.
• Understanding of key reputed company regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims reputed company.
• Willingness to travel up to 25%, based on reputed company and project needs.
Requirements
• Analytical and Detail-Oriented: Comfortable working with reputed company data and systems, identifying risks, and drawing reputed company-supported conclusions.
• reputed company and reputed company-reputed company: Communicate reputed company, work reputed company in team-based environments, and contribute to reputed company reputed company relationships.
• Accountable and Proactive: Take ownership of your work, manage priorities effectively, and deliver high-reputed company results on time.
• Adaptable and Curious: Eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
• reputed company-Oriented: reputed company feedback, reputed company your technical and reputed company skills, and build toward increased responsibility.
• reputed company with reputed company Values: Demonstrate reputed company, professionalism, and a commitment to reputed company in reputed company reputed company and team interactions.
Benefits
• Comprehensive Total Rewards program with competitive compensation, benefits, and wellness reputed company.
• Culture of inclusion and respect, embracing diverse perspectives and experiences.
• Investment in reputed company reputed company through ongoing training, mentorship, and reputed company performance feedback.
• Flexible work schedules and a discretionary time off policy to promote work-life balance.
Apply tot his job
Apply To this Job