Senior Clinical Rules Analyst

A company is looking for a Senior Clinical Rules Analyst Facility - Remote.

Key Responsibilities

Researching, defining, implementing, and testing requirements for Facility Claims

Creating and maintaining the coding database and interpreting national reimbursement policies

Conducting comprehensive testing of rule functionality and ensuring compliance with regulatory requirements

Required Qualifications

3+ years of Outpatient and / or Inpatient coding experience

3+ years of experience in health information management or related health care management

1+ years of experience with Medicare Claims processing for Outpatient Code Editor (OCE) and / or Medicare Code Editor (MCE-inpatient)

1+ years of experience creating professional documentation such as business requirements and clinical requirements