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Clinical Systems Analyst - Work from home Medical Coding Opportunity

Company: MultiPlan
Location: Salt Lake City
Posted on: January 13, 2021

Job Description:

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions.We are MultiPlan and we are where bright people come to shine!This is a work from home coding opportunity and work will begin--in January 2020.This position is responsible for helping to identify coding and other health care claim deviations that indicate a physician, hospital or other provider may not have properly billed for a health care service. The incumbent will create requirements to build on a software application. Requirements will stem from experience and knowledge in clinical and coding work. The incumbent will need to effectively communicate with other team members about coding research, claims issues and the software requirements they are working on.The incumbent in Clinical Systems Analyst position must meet the job requirements and should be able to perform the roles and responsibilities of the Clinical Systems Researcher, in addition to those outlined in this job description.JOB ROLES AND RESPONSIBILITIES:1. Identify, research and document individual medical claims coding/clinical and reimbursement topics. Construct research papers around a specific topic and present research findings to peers within the department.2. Create effective software application requirements that encompass a variety of coding/clinical research topics.3. Utilize claims data mining tools to aid in creating software application requirements including; raising questions related to software application requirements based on data mining results, interpreting claims data and applying common aggregations of data to modify software application requirements and using common aggregations of data to test design of system requirements.4. Apply table driven system logic and pre-defined advanced query logic to create software application requirements. Articulate and document the logic necessary to populate the system tables in a way that correctly identifies issues on a claim.5. Act as a mentor to more junior team members.6. Deliver effective Peer QA feedback on multiple related coding/clinical concepts and research papers including; identifying gaps in research and advising on changes to factor language and system logic, and recommending when more advance software capabilities could be incorporated.7. Manage assigned projects & functions above daily work.8. Gain an understanding of existing system requirements/coding and reimbursement rules already available in the MARS system, while demonstrating familiarity with existing system rules related to incumbent's specialty area.9. Manage and maintain compliance of oneself and peers work in accordance with the departmental release cycle.10. Collaborate, coordinate, and communicate across disciplines and departments.11. Ensure compliance with HIPAA regulations and requirements.12. Demonstrate Company's Core Competencies and values held within.13. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.14. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Keywords: MultiPlan, Salt Lake City , Clinical Systems Analyst - Work from home Medical Coding Opportunity, Professions , Salt Lake City, Utah

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