Medicare IT Analyst

Job Summary

A company is looking for a Medicare IT Analyst - Pricing Procedures Analyst.

Key Responsibilities

• Research and respond to interdepartmental referrals while ensuring accuracy in processing and coding guidelines
• Maintain internal manuals and coordinate updates to pricing files in systems like MCS and FISS
• Participate in Functional Workgroup calls and collaborate with other MACs and CMS on various projects

Required Qualifications

• Bachelor's degree in Health System Information or a related discipline, or equivalent experience
• 1 or more years of experience in Medicare Part A and Part B claims processing
• Knowledge of Medicare program operations and claims processing procedures
• Proficient in navigating systems to download and install files (e.g., FISS/MCS pricing files)
• Demonstrated organizational skills for maintaining detailed documentation related to pricing changes