Experian
Healthcare
ContentBusinessAnalyst
Neural analysis suggests this role is
optimal for mid candidates.
“Content Business Analyst at Experian. Skills: healthcare reimbursement, coding experience, payer data manipulation, CPT. Interpret medical rules. Understand and manipulate payer data”
What You'll Achieve.
support Experian Health product logic; ensure the accuracy of coding edit files
Industry & Context.
Think through situations independently
What They're Looking For.
Must Have
High-level knowledge of CPT, HCPCS, ICD-10 coding language
Nice to Have
2-3 years of healthcare reimbursement and coding experience, Knowledge and experience in using Salesforce, Atlassian JIRA, Microsoft 365 applications, Excel, other data analytics tools
What You'll Do.
Interpret medical rules
Understand and manipulate payer data
and commercial coding and financial tables
Monitor and maintain the tables
Analyze and maintain Medicaid master fee schedules
Maximize the efficiency and use of our product solutions
Leverage internal loading systems
How You'll Work.
Team & Collaboration
collaboration with others
Full Job Description
Experian is a global data and technology company, powering opportunities for people and businesses around the world. We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more. Experian invests in people and new advanced technologies to unlock the power of data. We have an amazing team of 25,200 people in 32 countries. Interpret medical rules, regulations, fee schedules, and edits that payers post. Sources include (but may not be limited to Centers for Medicare Services "CMS", State Health & Human Services Medicaid plans, Governmental payer Tricare, and all national commercial insurance plan payers that pay). You will report to Client Implementation Senior Manager. * Understand and manipulate payer data to build federal, state, and commercial coding and financial tables that support Experian Health product logic. * Monitor and maintain the tables, due to unpredictable payer updates. Navigate complex and evolving regulatory scenarios. * Analyze and maintain Medicaid master fee schedules. * Think through situations independently and in collaboration with others. * Maximize the efficiency and use of our product solutions in day-to-day operations by properly maintaining payer specific edits. * Leverage internal loading systems to routinely load advanced edit tables in testing and production environments. Have an openness and willingness to support and navigate automation and AI technologies. ## Qualifications * 2-3 years of healthcare reimbursement and coding experience is preferred. * Good knowledge and experience in using Salesforce, Atlassian JIRA, Microsoft 365 applications, with great proficiency in Excel and other data analytics tools. * High-level knowledge of CPT, HCPCs, and ICD-10 coding language to ensure the accuracy of coding edit files. Adaptable to changing environment and workload when necessary. ## Additional Information Our uniqueness is that we celebrate yours. Experian's people first
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