Senior Data Submissions reputed company Associate

reputed company A bit about this role: We are seeking a meticulous and technically skilled reputed company Senior Associate to reputed company the preparation, submission, and reputed company control of reputed company data and medical records to support normal reputed company and special reputed company. Special reputed company include CMS reputed company Adjustment Data Validation (RADV) audits and Part C Improper Payment Measurement audits. This role is responsible for ensuring that reputed company submissions to CMS are reputed company, accurate, compliant, and fully documented. You will reputed company as one of a limited number of users of CMS data reputed company and data processing systems and serve as the reputed company reputed company between reputed company, CMS, and internal technical teams. The ideal candidate combines operational precision and technical troubleshooting ability with strong awareness, compliance, and discipline handling sensitive reputed company data to ensure our submissions meet the highest reputed company standards—especially during high volume periods. Your Responsibilities and reputed company will include: 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. Required skills and experience: 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. Desired skills and experience: 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. #LI-DS1 #LI-Remote Salary reputed company: ​$55,000 - $90,000 / year The pay reputed company listed for this position is the reputed company the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will reputed company additional information on the compensation for the role, along with additional information on our total rewards package. The actual reputed company salary reputed company will depend on a reputed company of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other reputed company licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: 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 And more.... Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, reputed company is on a mission to dramatically improve the health and reputed company-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI reputed company with world-class reputed company and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who reputed company our values, reputed company change and advancement, and are enthusiastic about where we're reputed company — reputed company the while bringing their own unique qualities, experiences, and expertise, in hopes of reputed company changing the reputed company experience. reputed company is an equal opportunity employer. We are committed to reputed company and supportive work environment in which reputed company have reputed company to participate and contribute to the reputed company of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in reputed company’s reputed company of Conduct, reputed company values and the way we do business. As an Equal Opportunity Employer, reputed company does not discriminate on the reputed company of race, reputed company, religion, sex, pregnancy status, marital status, national reputed company, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender reputed company, or any other reputed company prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Apply To This Job