{Job Junction} Immediate requirement for Business System Analyst (Health Care)|| Owings Mills, MD||Contract

Hi

Hope you are doing well today. 

We have this position for you, and I am looking forward to hear from you with your updated profile along with your comfort and availability about the requirement below

Please send me the profile on gsoni@okayainfo.com

  

Role: Business System Analyst

Location: Owings Mills, MD

Duration: Contract

Duties and Responsibilities:

DUTIES AND RESPONSIBILITIES FOR CERTIFIED PROFESSIONAL CODER (CPC):

•Assist with reviewing existing ICD-9 Dx codes in the Dx Master File and clean up errant codes (this is simply data clean-up before mapping the ICD-9 codes to ICD-10)—Coders will provide recommended edits/corrections to existing ICD-9 codes.

•After system has attempted to map ICD-9 codes to ICD-10, Coders will validate ICD-10 codes – accuracy, usability, errors (mismatch, no match (when there should be a match), etc.).

•Conduct audit and provide recommended edits to post-mapped ICD-10 codes and descriptions.

• Maintain Coding Certification Credentials.

•Maintain Documentation of Maps and Decisions in Leap I-10 Mapping tool.

•Log and track mapping questions in HPQC.

•Participate in weekly coder meetings as required.

REQUIRED EXPERIENCE AND QUALIFICATIONS:

•Clinical experience in working with ICD-10 codes.

•Candidate must have one or more of any of these certifications: RN and/or CPC, CPC-H.

•Ideal Candidate will be a certified ICD-10 Trainer.

•Candidate must be able to demonstrate experience and knowledge using ICD-10-CM and ICD-10-PCS Codes.

•Candidate must be able to demonstrate experience and knowledge using General Equivalence Mapping (GEMs).

•Candidate must have a minimum of 1 years' experience working with the ICD-10 Code Set Mapping.

•Prefer that the Candidate have a solid understanding in claim adjudication and editing systems.

•Candidate must demonstrate experience working in a team settings as well as independently.

•Candidate must have strong communication, writing and analytical skills.

•Candidate must demonstrate the ability to initiate work tasks including mapping approach and strategies with limited guidance.

•Strong customer skills with internal and external customers.

•Must be able to perform assigned tasks with minimum supervision.

•Prefer Candidate with one (1) year Payer coding experience.

•Two (2) years of recent and relevant hands-on coding experience.

•Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective October 1, 2013).

•Ability to consistently code at 95% threshold for both accuracy and quality while maintaining client-specific and/or Precise production and/or quality standards.

•Basic knowledge of Microsoft Office Products.

REQUIREMENTS:

•This can be a remote position; however, the candidate must be online and respond to emails and IM messages timely during specified work hours, candidate should also be available to attend live meetings daily via phone/computer.

•Candidate must be in OH for a minimum of two (2) weeks for onboarding and training during probationary period.

•Candidate must be in MD for week of Leap I-10 Training.

•Candidate must be in Columbus, OH for two (2) to three (3) days per month for team collaboration & meetings, and more frequently as necessary.

•Candidate must have laptop to access client required applications for day-to-day work and for onsite meetings.

•Candidate must have current ICD-9 and ICD-10 Coding Books.

 

Thanks & Regards,

Gourav Soni

OKAYA INC. | A division of MICROTEK GROUP | An e-verified company

EMail ID gsoni@okayainfo.com|| Phone: 631-267-4883 X 362

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