Research Analyst Health Information Management Professional 2

Profile

Description

The Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and frequently require research, interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Health Information Management Professional 2 develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Manages special projects including error and system logic research. Possesses the ability to operate under tight deadlines. Communicates insight and analytical findings in professional manner. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications


Bachelor's degree in Business, Finance, Accounting, Operations or other related fields or 4 years industry experience
Prior financial reporting experience
Strong analysis, critical thinking, and analytical problem solving skills
Ability to manage multiple tasks and deadlines with attention to detail
Excellent communication skills
Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Master's Degree in Business Administration or a related field
Prior health insurance industry experience
Working knowledge of SQL or SAS
Prior experience with Encounter Submissions (EDI/Transmissions Data)


Additional Information

Scheduled Weekly Hours

40

Company info

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