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Medical Coder - Work From Home/Remote

Company: MultiPlan
Location: Irving
Posted on: January 13, 2021

Job Description:

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions.We are MultiPlan and we are where bright people come to shine!This is a work from home coding position which will start work in January 2020.This position is responsible for helping to drive the efforts of the Clinical Systems team by leading projects and/or functions with a focus on the creation and expansion of software application requirements. This may include client projects, cross-departmental initiatives and identification and development of new topics for software applications requirements. The incumbent will need to effectively communicate and provide training to physicians about coding/clinical research, claims issues and the software applications requirements created by the Clinical Systems team.The incumbent in remote medical coder/Clinical Systems Specialist position must meet the job requirements and should be able to perform the roles and responsibilities of the Clinical Systems Consultant, in addition to those outlined in this job description.JOB ROLES AND RESPONSIBILITIES:1. Identify, research and document a broad variety of medical claims coding/clinical and reimbursement topics. Construct research papers around these topics and provide training to physicians on coding/clinical research topics.2. Create effective software application requirements on all coding/clinical research topics.3. Utilize claims data mining tools to aid in creating software application requirements including interpreting claims data and applying various aggregations of data to modify or test design of software application requirements. Develop/recognize new ways to look at data and give instructions to analysts and developers on how to query data.4. Apply table driven system logic and pre-defined advanced query logic to create software application requirements. Provide guidance to developers on modifying requirements to resolve system bugs/design enhancements needs. Propose new system logic and assist developers with design requirements.5. Act as a special matter expert on coding/clinical research topics.6. Lead special projects and/or functions.7. Deliver effective QA feedback on all coding/clinical concepts, research papers and all factors, as well as newly introduced system logic. Use claims data to aid in recommending changes to factor structure, filters and logic.8. Demonstrate a broad understanding of the coding/clinical topics covered in the system and the system principals that lay the foundation and guide development.9. Collaborate, coordinate, and communicate across disciplines and departments.10. Ensure compliance with HIPAA regulations and requirements.11. Demonstrate Company's Core Competencies and values held within.12. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Keywords: MultiPlan, Irving , Medical Coder - Work From Home/Remote, Healthcare , Irving, Texas

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