Role Description
As an Analyst, Clinical Content Development, you will be responsible for developing, enhancing, and incorporating CPT-4, HCPCS and/or ICD-10-CM Computer Assisted Coding medical coding rules into the 360 Encompass and CodeAssist Solventum products. This role plays a critical part in ensuring compliance, accuracy, and value for our customers.
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Fielding escalations from the Coding Analyst team with requests for Computer Assisted Coding (CAC) development or improvement
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Analyzing documentation from our customers to determine language patterns for CAC rules
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Deciding on the required elements for each coding rule and adding language evidence for these rules
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Using internal web tools to create and edit rules
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Following rigorous regression testing procedures
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Collaborate with other Computer Assisted Coding teams to ensure consistency of rules and approaches
Qualifications
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Bachelorโs Degree or higher (completed and verified prior to start) from an accredited institution AND five (5) years of experience in Outpatient and ProFee coding or auditing (CPT-4, HCPCS, ICD-10-CM) in a private, public, government or military environment
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OR High School Diploma/GED AND nine (9) years of experience in Outpatient and ProFee coding or auditing (CPT-4, HCPCS, ICD-10-CM) in a private, public, government or military environment
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AND One of the following certifications: CPC, CCS, RHIA, RHIT, CHDA
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Experience writing Computer Assisted Coding rules for CPT-4, HCPCS or ICD-10-CM
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Bachelorโs degree in Health Information Management or Nursing
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Extensive experience with coding audits
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Experience with outpatient coding (CPT/HCPCS)
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Working knowledge and understanding of compliant coding
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Excellent attention to detail, time management and organizational skills
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Proficiency in Microsoft Office applications (Excel, Teams, Word, PowerPoint) with strong analytical skills
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Capacity for effective collaboration both within the organization and with external customers
Requirements
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Travel: May include up to 5% domestic
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Relocation Assistance: May be authorized
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Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status)
Benefits
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Competitive pay and benefits
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Medical, Dental & Vision
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Health Savings Accounts
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Health Care & Dependent Care Flexible Spending Accounts
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Disability Benefits
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Life Insurance
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Voluntary Benefits
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Paid Absences
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Retirement Benefits