Analyst (Medical Coding)-104640 Marketplace Ops

Department Preferences

• A completed Coding Certification preferred.
• Associate's degree in medical coding, health information technology or another closely related field preferred.
• Working knowledge and proficiency in medical terminology, anatomy and physiology.
• Be familiar and proficient in basic and advanced ICD-10-CM, CPT and HCPCS coding, Medicare guidelines and compliance.
• Experience and knowledge of HCC Coding and Risk Adjustment experience a plus.

Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality.

• Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance.
• Compile and analyze operational data to identify and resolve business problems.
• Utilize and maintain available reporting systems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
• Provide leadership team with status updates on projects and issues.
• Communicate and recommend policy changes to achieve project objectives. Assist in documenting departmental procedures.
• Create and present reports and presentations to display operational data and propose business changes.
• Provide support to both internal departments and external entities by answering questions, supplying information and training.
• Participate on special projects or workgroups as assigned.

"Qualifications"

• Bachelor's Degree in a related field is preferred.
• Two (2) years of experience in a related field is required.
• Effective verbal, written communication and interpersonal skills.
• Ability to work independently or in a team environment and interact with all levels of the organization.
• Effective analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness.
• Organizational skills and ability to prioritize; must be able to coordinate multiple activities with varying timelines.
• Proficient in Microsoft Office suites.
• Ability to develop and maintain effective working relationships.