Informatics Operations Analyst

Location US-NY-New York
Posted Date 4 weeks ago(1/25/2018 9:48 AM)
Job ID
2017-10971
# Positions
1
Facility
ArchCare Senior Life- Harlem
Experience (Years)
1
Category
Office and Administrative Support
Work Days Per Week
5
Shift
D
Shift Start Time
8:30 AM
Shift End Time
5:00 PM
Type
Full-Time
# Hours
37.5

Overview

Assists in the planning, organizing, leading and directing of the claims, authorization and UASNY data acceptance and error correction process for both Medicare & Medicaid. 

Position is heavily involved in research, investigation, monitoring and corrections for federal, state and local regulations governing Archcare Senior Life. 

Position will assist in the development of documentation that supports education of the Care Members in relation to Claims, Authorizations and UASNY assessment requirements.

Assists in the generating of reports for submission to the quality and compliance department. 

Will be responsible for the development of timelines to assist with project completion and administrative reporting.

Provides oversight and direction in establishing and maintaining data systems for developing, reviewing, approving claims, authorizations and UASNY Quality Indicators and Preventative Health Services

Responsibilities

Responsible for monitoring the claims, authorization and UASNY data acceptance and error correction processes for both Medicare and Medicaid.

Performs research, investigation and corrections of claims, authorizations and UASNY Quality Indicators.

Keeps program in compliance with federal and state regulations

Assist in the development of documentation for quality and compliance reporting.

Attends and participates in planning and staff meetings to ensure communication on key topics to all levels.

Provides oversight and direction in establishing and maintaining data systems for developing, reviewing, approving, authorizing claims, UASNY Quality Indicators, Preventative Health Services, DSRIP and Meaningful Use requirements.

Qualifications

Education & Experience


 

Formal Education

 

·         Associates Degree Health Care Administration

·         ICD-10 Coding Certification  

·         Medical Billing Certification

 

 

License, Registration, and / or Certification Requirementyes

Minimum Knowledge

Language Ability: Bi-Lingual preferred

 

 

Education Requirements

 

 

Associates Degree in Health care Administration required

Bachelors Healthcare Administration Preferred

ICD-10 Coding Certification and Medical Billing Certification required

 

Experience Requirements

 

Minimum of 5 years progressive experience in a human services and/or healthcare environment.

 

 

 

Skill Desired


Proficient in Microsoft applications and EMR charting, Excellent verbal and written communications skills, Highly organized and effective in organizing priorities and effective interview skills.

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