The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Health Information Management Professional 2 develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications

• 1+ years of prior User Acceptance Testing (UAT) experience
• 1+ years of prior data quality and data validation experience
• Understanding of IT development life cycle
• Strong analysis, critical thinking, and analytical problem solving skills
• Ability to manage multiple tasks and deadlines with attention to detail
• Excellent communication skills
• Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Prior EDI/X12 experience
• Prior Claim experience
• Prior health insurance industry experience
• Working knowledge of Microsoft SQL or SAS

Additional Information

Scheduled Weekly Hours

40