Clinical Content Analyst Claims Performance Healthcare IT Job in Malvern, Pennsylvania US
Clinical Content Analyst Claims Performance Healthcare IT
Healing the healthcare system starts with you. It starts with the chain of events you initiate when you work with McKesson Health Solutions - a chain that extends across the country and results in millions of people getting more from their healthcare. Healthcare payors and providers consistently turn to McKesson Health Solutions for innovative products and services. Every day, hundreds of organizations from government agencies to hospitals count on us. We partner with the top 25 payor organizations, more than 90 percent of Blue Cross Blue Shield organizations, over 3,000 hospitals and many others - in fact, our solutions touch more than 160 million lives. Our unrivaled clinical integrity, broad product and service offerings and largest client base in the industry mean we're able to collaborate on the most pressing, complex business issues in healthcare. At McKesson Health Solutions, we're working to improve the healthcare system one partner at a time. Current Need Clinical Content Analyst Claims Performance Position Description The Clinical Content Specialist develops, maintains and supports rules and content, for McKesson¿s Claims Performance Product Line in a fast paced environment with contractually driven quarterly deliverable. The Claims Performance products are utilized by payor organizations to augment their claims management systems to optimize accurate processing of both professional and facility claims. This role is responsible for the end to end process of rule and content development for claims management to internal and external customers. The content specialist is also responsible for quality assurance of the rules and content and for responding to internal and external customer inquiries in support of default content. Minimum Requirements RN, RHIA or Relevant Healthcare experience with inpatient/outpatient billing/ claims systems. Healthcare Systems Information technology background strongly preferred. Third party claims processing, Medicare billing, and/or physician group practice experience desirable. Working knowledge of procedure and diagnosis coding systems and experience with business/data analysis preferred. Additional Knowledge Skills HealthCare Information Technology Experience Ability to communicate technical requirements using Boolean logic statements. Ability to use SQL statements and Access a plus Problem solving skills; ability to step through logical pathways to confirm expected results. Strong analytical skills Basic understanding of software development phases/life cycles a plus. Must possess strong verbal and written communication skills. Demonstrated proficiency with various software applications, including but not limited to: MS Word; MS Excel; MS Access; Visio. Research capabilities, writing experience, and knowledge of clinical/facility coding schemes. Results oriented; effective as both a team member and independent worker with attention to detail and ability to multi-task. Knowledge of claims management billing systems is preferred. Aptitude for working with McKesson developed applications in support of work objectives. Education Bachelors Degree in computer science, healthcare related field, or relevant Healthcare experience with payor claims systems and or physician/facility revenue cycle systems. Physical Requirements General Office Demands Benefits Company Statement We believe you should be rewarded for the important work you do. For that reason, you'll receive a competitive compensation and benefits package when you join our team. It starts with you. That's a simple sentence but it says a lot. It reminds each one of us that what we do matters. Every single McKesson employee contributes to our mission - whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. By connecting and improving the business of healthcare, we're helping to ensure that millions of patients get the treatment they need. And by choosing a career with McKesson Health Solutions, you'll join a team of passionate people working together to improve lives and advance healthcare. At McKesson, we believe we can empower healthcare. And it all starts with you. As an equal opportunity employer, McKesson Corporation unites the talents and contributions of all to advance the power of healthcare. Learn more about our opportunities at mckesson.com/careers Agency Statement No agencies please.