Medicare Policy Analyst

🕒 il y a 1 mois

🏖️ New Jersey, New York, +1 états de plus – Distant

🏖️ New Jersey – Remote 🗽 New York – Remote 🔔 Pennsylvania – Remote

💵 $96 000 - $132 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🧐 Analyste

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Recevoir des emails pour des emplois à distance

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

Solventum

Site WebLinkedInTous les Emplois

10 000+ employés

⚕️ Assurance santé

📚 Éducation

🧘 Bien-être

Healthcare Insurance • Education • Wellness

Solventum est une entreprise spécialisée dans le domaine de la santé, reconnue pour ses solutions innovantes visant à améliorer les résultats des soins médicaux et dentaires. L'entreprise propose une variété de technologies médicales, notamment des soins avancés des plaies, des solutions chirurgicales et des produits de stérilisation. Solventum offre également des solutions avancées de soins bucco-dentaires, des services d'information et de technologies de la santé, ainsi que des produits de purification et de filtration pour les applications biopharmaceutiques. En outre, Solventum accorde une grande importance à la durabilité et à l'éducation, fournissant des ressources et des formations pour les professionnels de la santé à l'échelle mondiale. Leur engagement envers l'innovation et une meilleure santé a fait d'eux un leader dans l'industrie des soins de santé, dédié à l'amélioration de la sécurité des patients et de l'efficacité des soins de santé.

Description

• Utilize your medical coding, billing, or clinical knowledge to develop software and data sets using information from national and state medical coverage policies. • Researching and analyzing Medicare payment policies and regulatory changes in order to organize and update content in our proprietary database • Preparing and delivering new files and updates to customers • Corresponding with CMS or other payers to clarify policy ambiguities or publication errors. • Responding to inquiries about our data or working with customers to resolve issues. • Leading QA and analyses of data we build or acquire • Implementing solutions that help hospitals, clinics, and doctors comply with regulations and attain proper payment for medical care • Collaborating with skilled colleagues to devise solutions to tricky challenges • Determining how to best organize and represent information to meet client or software needs • Contributing ideas that advance and improve your team’s products & processes

🎯 Exigences

• Bachelor’s Degree or higher AND (4) four years of healthcare or medical coding experience in a private, public, government or military environment OR High School Diploma/GED from AND (8) eight years of healthcare or medical coding experience in a private, public, government or military environment • Registered Nurse (RN) • Experience in health information systems or medical billing • Any of the following: CCS-H, CCS-P, CPC, CPC-P, COC, CCA, RHIT, RHIA Certified, or a strong working knowledge of ICD-10, CPT & HCPCS coding practices. • Experience supporting, using, or implementing an HIS system – especially for coding, compliance, billing, or insurance claim adjudication • Understanding of medical terminology, procedures & diagnoses • Knowledge of the common disease processes, common treatments, and diagnostic tests • Medical coding, billing, or auditing background – esp. hospital outpatient • Knowledge of medical insurance payment policies or processes • Strong organization skills; must be able to meet frequent short-term deadlines • Ability to work independently and collaboratively with team members • Strong computer & data analysis skills (e.g. MS Office, Excel, use of databases, or helping design or troubleshoot software solutions – especially related to medical payments or compliance) • Great reading comprehension with ability to interpret complex regulatory documents and extract key concepts.

🏖️ Avantages

• Medical, Dental & Vision • Health Savings Accounts • Health Care & Dependent Care Flexible Spending Accounts • Disability Benefits • Life Insurance • Voluntary Benefits • Paid Absences • Retirement Benefits