Associate Research Analyst - Noida, UP
- Optum
- 2 - 3 Years
- Noida, Gurugram
- 3 years ago
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Job Description
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
Primary Responsibilities:
- Work on ICD - 10 update and maintenance project
- Review all LCD and NCD policies maintained by CMS at least once each two-week production cycle to identify Contractor revisions to policies, new policies and retired policies
- Edit the policy data using the database to assure that accurate and current policy data is delivered to our clients.
- Communicate with onshore stakeholders on a regular basis
- Research and create policy appropriate code relationships and billing edits as specified in the data requirements for Clients requiring Medicare Data. Create reimbursement related edits like Medical necessity, Modifiers, frequency, POS etc. based on policy language and interpretation
- Develop complex coding/clinical relationships in an intelligent database, maintain approx. 3500 LCD/NCD policies in bi-weekly production cycle
- Work on Medicaid/PQRS/other value add projects
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
- Graduates (BAMS, BHMS, BPH, B.Sc. or equivalent) with coding certification like CPC / CPC-H, CCS / CCS-P from AAPC / AHIMA or equivalent
- 2 - 3 years of experience in medical Coding, Claims Reimbursement, Denial management (preferably post -certification)
- Strong clinical acumen and analytical abilities
- Excellent communication skills
- Tech savvy with good MS office skills
Employement Category:
Employement Type: Full timeIndustry: Hotels
Functional Area: Advertising
Role Category: Associate Research Analyst
Role/Responsibilies: Associate Research Analyst - Noida, UP
Contact Details:
Company: OptumLocation(s): Noida, Gurugram
Keyskills: Associate Research Analys Analys CPC/CPC-H CCS/CCS-P AAPC/AHIM Medical Coding Claims Healthcare Us Healthcare Noida Uttar Pradesh
Optum
About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...
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