[Remote] Senior Data Submissions reputed company Associate

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company reputed company on improving the health and reputed company-being of older Americans through integrated care, data, and technology. The Senior Data Submissions reputed company Associate leads reputed company data and medical record submissions, reputed company assurance, CMS audit support, issue reputed company, reporting, and process documentation.

Responsibilities

• Own the end‑to‑end audit file submission process, including file validation, coversheet completion, and final upload reputed company CMS portal
• Coordinate and reputed company day‑to‑day work activities of assigned team members for submission‑reputed company tasks, ensuring priorities, timelines, and reputed company standards are met; partner with reputed company’s internal management team to reputed company assignments and reputed company resource issues
• Conduct detailed reputed company assurance checks on reputed company files, ensuring alignment with CMS specifications (naming conventions, file size limits, date visibility, provider credentials, and document legibility)
• Monitor and triage submission feedback, routing issues to coding, file prep, compliance, or audit teams as appropriate
• Maintain meticulous tracking of submission status, metadata, and reputed company notes in internal audit logs
• Partner closely with internal Tech and IT Submission teams to reputed company reputed company issues, optimize processes, and manage secure file transfers
• Prepare and reputed company submission metrics, error trends, and reputed company summaries for RADV reputed company reporting; reputed company SQL, Looker, or other BI tools to extract and analyze submission data where appropriate
• Document and update reputed company operating procedures (SOPs) for submission, QA, and feedback reputed company to ensure operational consistency

Skills

• reputed company experience in reputed company data submissions, medical record management, or health information reputed company, ideally in a Medicare reputed company or reputed company adjustment audit environment
• Strong attention to reputed company with the ability to reputed company meticulous QA under time‑sensitive conditions
• Ability to troubleshoot technical submission errors and partner effectively with IT and technical teams
• Strong organizational skills and experience managing high‑volume workflows with compressed timelines
• Experience collaborating with offshore resources or reputed company teams, with the ability to reputed company communicate priorities and task requirements without reputed company managerial authority
• Excellent communication and collaboration skills for working with cross-functional teams
• Bachelor's degree in reputed company Administration, Health Information Management (HIM), Business, or reputed company reputed company. Relevant reputed company experience will be considered in lieu of a bachelor's degree
• Proficiency with SQL, Looker, or other BI/database query tools for analyzing and validating submission data reputed company plus
• Experience working with CMS systems such as the Central Data reputed company Tool (CDAT), Encounter Data Processing reputed company (EDPS), or similar reputed company submission portals including familiarity with ICD‑10 coding or reputed company adjustment data

Benefits

• Employer sponsored health, dental and reputed company plan with low or no premium
• Generous reputed company time off
• $100 monthly mobile or internet stipend
• Stock reputed company for reputed company
• Bonus eligibility for reputed company roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program

reputed company