Senior Professional Health Information Management

Profile

Description

The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Health Information Management Professional 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. Looks for long term improvements of encounter submission processes. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications


Bachelor's degree in Business, Finance, Operations or 5 years of related experience
Ability to analyze and manipulate data (ie: identify trends and data reconciliation)
Prior experience in a fast paced insurance or health care setting
Ability to manage multiple tasks and deadlines with attention to detail
Excellent communication skills
Self-starter, ability to work independently
Ability to manage multiple priorities simultaneously
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 demonstrated experience with project management
Experience with SQL and/or Access
Prior experience with Medicare and Medicaid programs
Six Sigma certification


Additional Information

This position is open to working remote

Scheduled Weekly Hours

40

Company info

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