Description
No 3rd Party please
The Medicaid Policy Analyst will identify policy related items in the MMIS and will work with stakeholders in developing appropriate ICD-10 policies.
Primary duties:
- Applies developed subject matter knowledge to solve common and complex business issues within established guidelines and recommends appropriate alternatives
- Provides subject matter expertise in response to day to day business issues, researches applicable subject matter practices and remains aware of industry trends
- Excercises independent judgement within generally defined policies and practices to identify and select a solution
- Works on problems/projects of diverse complexity and scope and able to handle most unique situations
- May act as team leader providing direction to team activities and facilitates information validation and team decision-making process
Requirement include:
- Demonstrated understanding of ICD-9 and ICD-10
- Three years of current experience working with a state Medicaid program
- Experience in at least one key area impacted by ICD-10: claims, provider contracting/reimbursement or care management
- Demonstrated ability to fluently describe Medicaid policy and processes
- Prefer candidate certified by the American Academy of Professional Coders or the Board of Advanced Medical Coding OR relevant Bachelor's degree or relevant licensure (LPN, RN, RHIA, RHIT)