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Business Sys. Analysis Specialist

5.00 to 7.00 Years   Chennai   02 Oct, 2023
NTT Global Delivery Services Limited
Job LocationChennai
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT Services & Consulting
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

    NTT DATA, Inc. currently seeks a Senior Healthcare BA designated as Bus. Systems Analysis Advisor to join our team in Noida, UP, India . Mandatory Requirement: 10 years of experience in Business App in the US healthcare space. Education: Bachelors in Medicine, RN, BPT, BHMS, BAMS, Biotech Rich understanding of Revenue Cycle Management processes and Health plan processes like Claims filing, Billing, claims adjudication, benefits, provider contracting, Pricing and Recovery and reimbursement optimization. Experience in payment integrity processes like clinical investigations, SIU, FWA Experience as a Business/Systems Analyst across the product development life cycle. Aptitude for understanding and solving problems, deal effectively in high pressure, relate to actual day- to-day work to business priorities and to teach others what you have learned. Ability to research, analyse and interpret key findings for use in developing enterprise-wide business solutions. Working knowledge of different concepts of US healthcare domain Thorough hands-on experience in multi-speciality coding such as Surgery, E/M, Radiology, pathology, Anaesthesia coding, Hospital clinical audits, Itemized bill reviews Must have interpersonal skills essential to communicate effectively, written and oral, with internal and external personnel at various levels Working knowledge of Medical record review & coding- ICD, CPT/HCPCS Experienced in use of predictive modelling to increase and optimize customer experiences, revenue generation, ad targeting and other business outcomes. Nice to Have: Certified Coders- CPC, COC, CIC with 5 years of hands-on coding experience Working knowledge of DRG coding Responsibilities Elicit, gather, create and document business requirements.Act as a liaison between development team, QA team and business stakeholders for multiple RCM engagements.Assist project team in developing, monitoring and managing technology support and operational implementation work plans.Develop tracking/trending documents, assist in validating new products and features, prepare and deliver final reviews and presentations as needed.Facilitating pre-implementation/rollout workshops/trainings with all relevant stakeholders.Use secondary research and industry published sources to evaluate market needs and create innovative and appropriate data solutions and data analysis KPI s for the measurement of Payment Integrity / Revenue Cycle Management (RCM) processes.Work independently and provide proactive leadership in a complex environment with multiple teams of solution architects/technical leads. Job Segment: Systems Analyst, Quality Assurance, Technology,

Keyskills :
revenue cycle managementad targetingus healthcaredata analysishigh pressurerevenue cycledata solutionssystems analysisquality assurancecorporate liaisonsecondary researchrevenue generationproduct developmentclaims adjudicationinterpersonal s

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