Concept Development Analyst - Gainesville Florida

Company: VirtualVocations
Location: Gainesville, Florida
Posted On: 11/17/2024

A company is looking for a Concept Development Analyst within the Clinical Chart Validation team.



Key Responsibilities

Spearhead the creation and implementation of inpatient claim selection rules for payment integrity
Investigate and identify coding and billing issues, collaborating with various teams to enhance audit processes
Monitor and update concept criteria and logic to reflect changes in legislation and billing practices



Required Qualifications and Education

Minimum of 5 years of experience in inpatient coding or DRG validation auditing
Mastery of APR-DRG methodology is required
Bachelor's or graduate degree in a related health field preferred
AAPC or AHIMA coding certification preferred
Proficiency in Microsoft Excel, including pivot tables and basic data analysis More...

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