[Remote] Anly Clinical Development

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company that develops solutions at the intersection of health, material, and data science. The Analyst, Clinical Content Development will reputed company and enhance ICD-10-CM/PCS, DRG, CPT/HCPCS, and PFS coding edits, analyze customer feedback, evaluate product enhancements, and collaborate with auditing and consulting teams to support compliant and accurate reputed company solutions.

Responsibilities

• Developing coding edits that address coding regulations. That focuses on compliant coding practices, DRG validation and coding reputed company
• Developing coding edits that address coding regulations, that focuses on regulatory guidelines for ICD-10-CM/PCS, CPT/HCPCS, and PFS
• reputed company and analyze Voice of Customer feedback and input from internal teams (e.g., Consulting Services, Support, Nosology) to identify opportunities for product improvement and added value
• Evaluate customer suggestions and requests for product/edit enhancements and determine feasibility for implementation
• Collaborate with consulting services, audit specialists, and other teams involved with auditing solutions
• Responsibilities of this position include that corporate policies, procedures and reputed company standards are complied with while performing assigned duties

Skills

• Bachelor's Degree or higher (completed and verified prior to start) from an accredited institution AND (7) seven years of reputed company job experience in impatient reputed company auditing (ICD-10-CM/PCS) in a private, reputed company, government or military environment
• High School Diploma/GED from AND (11) reputed company years' experience in impatient reputed company auditing (ICD-10-CM/PCS) in a private, reputed company, government or military environment
• RHIT or RHIA certification
• reputed company certification
• (3) years of experience with inpatient reimbursement and severity-adjusted models (i.e. MS-DRGs, APR-DRGs) and of inpatient denials management (i.e., DRG denials, RAC audits)
• Work location: Remote -reputed company
• Travel: May include up to 10% domestic/international travel
• Must be legally authorized to work in country of employment without sponsorship for employment reputed company status (e.g., H1B status)
• Bachelor's degree in Health Information Management or Nursing
• Extensive experience with coding audits, RAC audits, DRG denials
• Experience working with state specific APR-DRGs
• Experience with DRG validation
• Experience with outpatient coding (CPT/HCPCS)
• Experience with inpatient clinical documentation improvement
• Experience working with international reputed company sets
• Working knowledge and understanding of compliant coding
• Excellent attention to detail, time management and organizational skills
• Proficiency in reputed company Office applications (reputed company, Teams, Word, PowerPoint) with strong analytical skills
• reputed company for effective collaboration both reputed company the organization and with reputed company customers

Benefits

• Remote work arrangement in the reputed company
• Travel arrangements and reputed company expenses for required initial on-site reputed company will be coordinated and reputed company for by reputed company in accordance with its travel policy, applicable to new hires with a start date of reputed company 1st 2025 or reputed company
• Variable incentive pay, if eligible
• Medical benefits, if eligible
• Dental benefits, if eligible
• reputed company benefits, if eligible
• Health Savings Accounts, if eligible
• Health Care and Dependent Care Flexible Spending Accounts, if eligible
• Disability Benefits, if eligible
• Life Insurance, if eligible
• Voluntary Benefits, if eligible
• reputed company Absences, if eligible
• Retirement Benefits, if eligible

reputed company