Angel and Genie
Website:
angelandgenie.com
Job details:
US Healthcare Data Integration
Experience- 8-10yrs
CTC- 10-20lpa
Qualifications
:Education & Certification (one of the following required)
- :Bachelor’s or Master’s Degree in Computer Science, Data Science, Information Systems, or related fiel
- dMedical or Life Sciences background (MBBS, BDS, BPT, BAMS, Nursing, Pharmacy, Life Sciences
)Certification Requirements
- :Preferabl
- eFHIR/HL7, EDI Certificatio
n
Specialty Expertis
e:Candidates must have proficiency in the following area
- s:Understanding of Revenue Cycle Management (RCM), US healthcare Claims & coding and billin
- g.Healthcare Claim Form (Professional - 1500), (Facility - 1450) and EDI maps for ANSI X12 transaction set
- s.Medical Codes: CPT/HCPCS, ICD, DRG, Modifiers et
- c.Provider Data: NPI, Taxonomy Codes across all provider
- s.Value sets: Standard value set in US healthcar
- e.Data Integrity Validatio
- n.Data classification Metholodologie
- s.Preferable, Clinical Data Exchange – Understanding expertise in healthcare data exchange standards (HL7, FHIR,) and clinical terminologies (SNOMED, LOINC
).Key Skill
- :Data Integration & Data Mapping
- .Healthcare Claims Data Analysis
- .Payment Integrity and Claims Adjudication Domain Knowledge
- .Knowledge of code sets: CPT, HCPCS, ICD, DRG, PCS, Modifier
- .Understanding of Healthcare Claim Form (Professional - 1500), (Facility - 1450) and EDI maps for ANSI X12 transaction set
- .Strong proficiency in SQL, Python (Preferable), Microsoft Excel and data analysis tool
- .Strong analytical, critical thinking, and problem-solving skill
- .Excellent written and verbal communication skills
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