Job Summary
A health insurance company is filling a position for a Telecommute Medical Analytic Development Consultant.
Candidates will be responsible for the following:
- Researching and developing potential claim overpayment hypotheses
- Utilizing data mining tools in order to analyze data to support of their hypothesis
- Researching policies, coding guidelines, and regulations that would support the hypothesis being developed
Must meet the following requirements for consideration:
- 2+ years of experience in healthcare
- 1+ years of experience conducting analysis on large data sets
- 1+ years of experience with claims processing or adjudication systems
- Understanding of healthcare payment methodologies, policies, and coding are necessary
- Maintains working knowledge of coding standards, billing rules and regulations and knowledge of procedure and diagnosis codes
- Solid computer skills: MS Access, Excel, Word, PowerPoint