Remote Clinical Chart Validation Concept Development Analyst I

Job Summary

A payment processing product provider is in need of a Remote Clinical Chart Validation Concept Development Analyst I.

Core Responsibilities of this position include:

• Assisting with ongoing review of all concepts prior to and after client approval
• Monitoring updates
• Assisting in the Generation and Development of New Audit Concepts

Required Skills:

• Proficient with all healthcare coding
• Associates Degree minimum or equivalent relevant healthcare experience required
• Computer proficiency in Microsoft Excel, Word, Power Point and Access
• Minimum of 5 years of experience in medical billing, inpatient or outpatient coding, auditing or CDI
• Proficient with Medicare reimbursement methodologies, billing guidelines, and applicable industry based standards
• Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements