Offer summary
Qualifications:
Minimum 5 years healthcare data management in various areas like Claims Processing, Submissions, Rev Recon, Quality and Hedis, Strong knowledge of Medicare Programs and experience with Medicare Encounter Data and Risk adjustment Methodology, SQL and standard ETL tools.
Key responsabilities:
- Ensure accuracy of data submissions and provide analysis specific to encounter data submissions to CMS
- Identify root cause of data loss, track data integrity and perform UAT for best practices
- Collaborate with internal teams to verify and correct errors, analyze trends, and ensure compliance with CMS timelines for submissions
- Participate in cross-team encounter data workgroup meetings and maintain thorough documentation of RCAs
- Work closely with Customer Success team to support client satisfaction, lead technical responses and maintain trust by driving quick resolutions