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Medical Coding Consultant (Remote or Omaha, NE)

Signature Performance Omaha, NE
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Job Description

 

Signature Performance, a leader in the healthcare industry, has an opening to work on a project taking our company to the next level. This position will serve as HIM consultant/subject matter expert for the development of ClaimsXM. This position is expected to work closely with the development team and senior level client, partner and organizational leaders

Essential Job Functions:

  • Will support the building, reviewing, testing and management of the claims clinical edit tool.
  • Initial work may include review of clinical edits, analyzing the current vs future state edits and other required analysis.
  • Conduct quality reviews throughout the initial 90 days after Go-Live and as directed thereafter.
  • Based on clinical coding expertise, assist with development, implementation and review of Fraud, Waste and Abuse tools to assure accurate claims processing.
  • Develop internal training, knowledge share content for peer to peer mentoring/knowledge share
  • Participate during project planning, assessment/workflow process, direct build progress of teams (or own team), development of testing plans, Parallel processes (user acceptance testing) and go live activities.
  • Participates in client communication process to develop and enhance client understanding of the project Best Practice, project timelines, tasks, client commitment, risk/issue impacts and mitigation.
  • Completes project tasks and assignments independently with general supervision
  • Use professional knowledge and experience to advise on optimal workflows and system functions.
  • Navigate across venues to resolve issues, propose mitigation strategies, and escalate when appropriate to solution and engagement leadership
  • Works closely with users to identify problems and provide solutions. Demonstrates an understanding of users' needs.
  • Analyzes reasonably complex issues and develops/implements solutions with general guidance.
  • Uses knowledge to facilitate client workflow and gap analysis, independently with general guidance to complete documentation utilizing department standards.
  • Understands project deliverables and level of effort to complete and monitors own effort to stay within project level of effort definition.
  • Provides weekly status reports.
  • Other duties may be assigned

Knowledge & Experience:

  • Minimum 3 years experience required. Prefer 5-10 years of senior level experience.
  • Auditing, consulting or analysis experience preferred.
  • CPC, RHIA or RHIT certification. Other AAPC or AHIMA certifications will be considered.
  • Preferred knowledge of and/or experience with VA processes and systems.
  • Must have excellent verbal and written communication skills.
  • Ability to interact with all levels of clients and management.
  • Excellent computer skills including Microsoft Office suite.
  • Must be a highly motivated individual able to grasp complex technologies, tools and concepts and learn quickly.
  • Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.
  • Must have a demonstrated ability to work within tight deadlines and under pressure.
  • Able to communicate technical verbiage in language and terms that are easy for the layperson to understand.
  • General Areas of Accountability:
  • Must conduct business and personal affairs in a manner that is always a credit to the company.

 

Machines and Equipment:

The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as copier and fax machines.

Physical Activity:

The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. This position is sedentary in nature with minimal lifting requirements.

WORKING CONDITIONS:

The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone utilizing a headset, sitting and data keying are required.

The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

 

Note:  This position may work onsite in Omaha, but working Remotely will be considered with travel to Omaha as needed.

 

We offer competitive salary and benefits. If you have what it takes to be part of a high-performing team, apply online today!

 

Equal Opportunity/AA Employer

 

 

Signature Performance, Inc

 

 

 

 

 

 

 

 

 

 
   

 

 
 
 

 

 

Job Details

Date Posted March 17, 2020
Date Closes April 16, 2020
Address 10330 Regency Parkway Drive
Located In Omaha, NE
Department Claims Project
Job Type Full-time Employee or Contractor / Consultant
Compensation Hourly Wage, Based on Experience
Experience Level Intermediate (3-7 yrs. experience)
Shift
Daytime
Mon: 8 am to 4 pm
Tue: 8 am to 4 pm
Wed: 8 am to 4 pm
Thu: 8 am to 4 pm
Fri: 8 am to 4 pm
Hours 40 hours per week
Start Date Immediately
Positions Available 1
SOC Category 31-9099.00 Healthcare Support Workers, All Other
Zipcode 68114
Name Susan Miller
Address 10330 Regency Parkway Drive, #305
City, State and Zip Omaha, NE 68114
Phone (402) 343-0300

This job offers the following benefits

  • 401(k) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Accidental Death and Dismemberment
  • Dental
  • Dependent Life Insurance
  • Employee Assistance Program (EAP)
  • Life Insurance
  • Long-Term Disability
  • Medical
  • Short-Term Disability
  • Supplemental Insurance
  • Vision
  • Voluntary Life Insurance
  • Employee Referral Program
  • Paid Holidays
  • Paid Vacations

This job requires the following skills

  • Medical Coding
At a Glance
Enjoy these benefits
  • 401(k) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Accidental Death and Dismemberment
  • Dental
  • And More ...
Location