Healthcare Concept Development Analyst

Job Summary

A company is looking for a Concept Development Analyst - DRG.

Key Responsibilities

• Lead the identification, creation, and implementation of innovative concepts in healthcare billing and coding
• Collaborate with various teams to refine and implement audit procedures and selection methods
• Monitor and update concept criteria and logic based on changes in legislation and policies

Required Qualifications

• Bachelor's or Graduate degree preferred
• AAPC or AHIMA coding certification preferred
• Minimum of 5 years of experience in medical billing, coding, or auditing
• Proficiency in Microsoft Excel and healthcare coding systems
• Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements