Clinical Systems Analyst - Work from home Medical Coding Opportunity
Company: MultiPlan
Location: Salt Lake City
Posted on: January 13, 2021
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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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