ICD/9 to ICD/10 Coding Analyst/Consultant

ICD/9 to ICD/10 Coding Analyst/Consultant - Can live anywhere in the US

CSC is a leading global consulting, systems integration and outsourcing company, CSC's mission is to provide customers in industry and government with solutions crafted to meet their strategic goals and enable them to profit from the advanced use of technology. For more than 50 years, our experience has guided clients through constant business and technology change, while maintaining a focus on delivering innovative, practical results Essential Qualifications: CSC has immediate opportunities for ICD10 Code Specialists to conduct code analysis and identify impacts for processes and organization. These resources play an active role in ICD-10 assessments, process design and implementation; building relationships with client business personnel while driving requirements; and proposing design alternatives and suggesting best practices. Candidates can live anywhere in the US as long as you are willing to travel up to 80%. Essential Job Functions: Responsibilities Review the client's current ICD-9 claims experience and map them to the equivalent ICD-10 codes. Facilitate cross-functional mapping sessions with the client, including participants from benefit configuration, provider, provider reimbursement, finance, claims processing and medical policy. These mapping sessions will review some of the more complicated mappings based on the client claims experience to determine/suggest/discuss/reach consensus on the most appropriate map for the client. Develop the process and approach to use for conducting the mapping for the remaining ICD-10 diagnosis and procedure codes expected for the client. Provide thought leadership to the client regarding leading practices, tools and methods available to support and assist with the ICD-10 mapping efforts. Gather business requirements through a variety of techniques (e.g. work sessions and interviews) and facilitate design workshops. Assist with the development of conceptual business model views and high-level and detailed business process designs Develop required work products for the business process and application domains of change Analyze potential ICD-10 mapping tools and determine which solution best meets the clients requirements Lead a team of 3-5 resources (company, client, and third-party resources), in area of expertise, to conclusion of a project phase Assist in prototyping business applications to ensure accuracy in design and applicability to user requirements Establish credibility at all levels within the client and builds problem-solving partnerships with the clients and colleagues Provide leadership and work guidance to less experienced personnel __________________________________________________________________________________________________________________________________________________________ Essential Job Functions Understands and applies business process design techniques (Business). Participates in gathering business requirements through a variety of techniques (e.g., workshops, work sessions and interviews) (Business). Defines, models and interprets data within and between business activities (Business). Demonstrates understanding of the Catalyst approach and applies components of the architecture, development, integration and deployment phases to day-to-day activities (Methodology). Coaches 3-5 project team resources in area of expertise (Management). Executes test scripts for the business area and documents test results (Technical). Gains the confidence of clients and company staff in specialty area and builds strong relationships with the working group (Relationship Management). Extends role on current assignment due to level of application and process knowledge, when possible (Leverage). Communicates in a variety of presentation settings including small to medium sized groups, project teams, internal task forces and training classes; contributes to formal written deliverables (Communication). Qualifications Skills/Experience: Registered Nurse (RN) and Certified Clinical Coder Deep clinical coding experience. Knows the code sets, key skill for ICD-10 (both payer and provider) Deep claims analytics experience Excellent clinical business analysis skills Consulting experience Experience with ICD-10 Medical Management or other Provider experience in a health plan preferred Conduct detailed analysis and mapping from ICD-9 to ICD-10 for health plan clients Conduct requirements gathering and business process improvement Conduct ICD-10 remediation support for health plan clients including core system configuration analysis Support ICD-10 solution development efforts by providing clinical coding and clinical perspective Basic Qualifications: Bachelor's degree or equivalent combination of education and experience Bachelor's degree in business, computer science or related field preferred Five or more years of consulting experience with business analysis, design, and redesign Experience working with CSC Catalyst and/or equivalent client-mandated methodology Experience working with techniques and approaches for business process design Experience working with techniques and approaches for test planning and execution Other Qualifications: One to two years of additional relevant experience in a particular business or industry specialty area Strong analysis and design skills Good communication skills Ability to manage competing priorities in a complex environment Ability to devise creative business solutions Ability to convey a strong presence, professional image, and deal confidently with complex business problems Willingness to travel 75-80% ________________________________________________________________________________________________________________________________________________________ Basic Qualifications Bachelor's degree or equivalent combination of education and experience Bachelor's degree in business, computer science or related field preferred Two or more years of experience in business analysis and process modeling, preferably in a consulting environment Experience working with CSC Catalyst and/or equivalent client-mandated methodology Experience working with process and entity modeling techniques Strong analytical and problem solving skills Other Qualifications Good communication skills Ability to work as part of a team Willingness to travel