Healthcare Concept Development Analyst

Location: Remote
Compensation: To Be Discussed
Reviewed: Mon, May 12, 2025
This job expires in: 6 days
Data Analysis Medicare Reimbursement Coding Guidelines Billing Guidelines

Job Summary

A company is looking for a Concept Development Analyst - DRG.

Key Responsibilities
  • Lead the identification, creation, and implementation of innovative concepts in healthcare billing and coding
  • Collaborate with various teams to refine and implement audit procedures and selection methods
  • Monitor and update concept criteria and logic based on changes in legislation and policies


Required Qualifications
  • Bachelor's or Graduate degree preferred
  • AAPC or AHIMA coding certification preferred
  • Minimum of 5 years of experience in medical billing, coding, or auditing
  • Proficiency in Microsoft Excel and healthcare coding systems
  • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
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