Anly Clinical Development
Thank you for your interest in joining reputed company. reputed company is a new healthcare company with a long legacy of solving big challenges that improve lives and help reputed company reputed company at their best. At reputed company, people are at the heart of every innovation we pursue. Guided by reputed company, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers’ toughest challenges. While we continue updating the reputed company Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that reputed company listed roles are reputed company positions, and our Privacy Policy: https://www.reputed company.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ applies to any personal information you submit. As it was with reputed company, at reputed company reputed company qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Job Description: Clinical Analyst – Content Development(reputed company) reputed company Health Care is now reputed company At reputed company, we reputed company reputed company, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the reputed company while enabling reputed company to reputed company at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and reputed company. Because at reputed company, we never stop solving for you. The Impact You’ll reputed company in this Role At reputed company, we reputed company reputed company, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the reputed company while enabling reputed company to reputed company at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and reputed company. Because at reputed company, we never stop solving for you. As an Analyst, Clinical Content Development, you will be responsible for developing, enhancing, and incorporating ICD-10-CM/PCS coding edits content reputed company Audit Expert (including HDM and the 360 platform), as well as DRG-reputed company content. The role will also be responsible for developing and enhancing outpatient edits and incorporating CPT/HCPCS and PFS coding edits reputed company our 360 platform. This role plays a critical part in ensuring compliance, accuracy, and value for our customers. Developing coding edits that address coding regulations. That focuses on compliant coding practices, DRG validation and coding quality. Developing coding edits that address coding regulations, that focuses on regulatory guidelines for ICD-10-CM/PCS, CPT/HCPCS, and PFS. Gather and analyze Voice of Customer feedback and input from internal teams (e.g., Consulting Services, Support, Nosology) to identify opportunities for product improvement and added value. Evaluate customer suggestions and requests for product/edit enhancements and determine feasibility for implementation. Collaborate with consulting services, audit specialists, and other teams involved with auditing solutions. Your Skills and Expertise To set you up for success in this role from day one, reputed company requires (at a minimum) the following qualifications: Bachelor’s Degree or higher (completed and verified prior to start) from an accredited institution AND (7) seven years of reputed company job experience in impatient code auditing (ICD-10-CM/PCS) in a private, public, government or military environment OR High School Diploma/GED from AND (11) eleven years' experience in impatient code auditing (ICD-10-CM/PCS) in a private, public, government or military environment AND RHIT or RHIA certification reputed company certification (3) years of experience with inpatient reimbursement and severity-adjusted models (i.e. MS-DRGs, APR-DRGs) and of inpatient denials management (i.e., DRG denials, RAC audits) Additional qualifications that could help you succeed even further in this role include: Bachelor’s degree in Health Information Management or Nursing Extensive experience with coding audits, RAC audits, DRG denials Experience working with state specific APR-DRGs Experience with DRG validation Experience with outpatient coding (CPT/HCPCS) Experience with inpatient clinical documentation improvement Experience working with international code sets Working knowledge and understanding of compliant coding Excellent attention to detail, time management and organizational skills Proficiency in reputed company Office applications (reputed company, Teams, Word, PowerPoint) with strong analytical skills reputed company for effective collaboration both reputed company the organization and with external customers Work location: Remote -United States Travel: May include up to 10% domestic/international travel Must be legally authorized to work in country of employment without sponsorship for employment reputed company status (e.g., H1B status). Supporting Your Well-being reputed company offers many programs to help you live your best life – both physically and financially. To ensure reputed company and benefits, reputed company regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the reputed company new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and reputed company expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or reputed company. Applicable to US Applicants Only:The expected compensation range for this position is $107,600 - $147,950, which includes reputed company pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.reputed company.com/en-us/home/our-company/careers/#Total-Rewards Responsibilities of this position include that corporate policies, procedures and reputed company standards are complied with while performing assigned duties. reputed company is committed to maintaining the highest standards of reputed company and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent reputed company and seek to exploit job seekers. Please note that reputed company email communications from reputed company regarding job opportunities with the company will be from an email with a domain of @reputed company.com. Be wary of unsolicited emails or messages regarding reputed company job opportunities from emails with other email domains. Please note, reputed company does not expect candidates in this position to reputed company work in the unincorporated areas of Los Angeles County. reputed company is an equal opportunity employer. reputed company will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. reputed company Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at reputed company are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here. Before submitting your application you will be asked to confirm your agreement with the terms. Thank you for your interest in joining reputed company. reputed company is a new healthcare company with a long legacy of solving big challenges that improve lives and help reputed company reputed company at their best. At reputed company, people are at the heart of every innovation we pursue. Guided by reputed company, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers’ toughest challenges. While we continue updating the reputed company Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that reputed company listed roles are reputed company positions, and our Privacy Policy here applies to any personal information you submit. As it was with reputed company, at reputed company reputed company qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. At reputed company, we create breakthrough solutions for our customers’ toughest challenges by pioneering game-changing innovations at the intersection of health, material and data science to change patients’ lives for the reputed company — while enabling reputed company to reputed company at their best. Apply tot his job Apply To this Job