Spec ICD 10 Implementation
HealthNow New York Inc. 12 reviews - Buffalo, NY

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Position Summary: The incumbent in this position serves as the primary business subject matter expert responsible for the successful implementation of ICD-10 projects. The specialist ensures a successful transition from current coding processes to ICD-10 by documenting business requirements, and by developing uses cases (as required), training materials, user test scripts, and acceptance criteria. The incumbent also serves as a liaison to the internal business and IT staff for ICD-10 subject matter expertise and external HEALTHeLINK, HEALTHeNET and HIXNY contacts, providers and vendors.

Primary Job Duties:
  • Serves as the ICD-10 Subject Matter Expert on projects/problems of diverse complexity and scope
  • Facilitates recommendations for actions/solutions to increase business efficiency and/or improve existing processes impacted by ICD-10
  • Partners with end users to gain understanding of HealthNow processes and environment and to refine business requirements
  • Ensures a successful transition from current coding processes to ICD-10 by documenting business requirements, and by developing uses cases (as required), and training materials
  • Collaborates with IT and business partners regarding business and/or technical solution implementations, upgrades, enhancements and conversions
  • Coordinates the development of test cases, test scripts and business User Acceptance Testing (UAT) with the business Subject Matter Experts
  • Ensures that users are adequately trained on new processes and coding schemas by developing communications and training materials
  • Provides coding oversight and serves as a reference for ICD-10 coding projects, and keeps current with knowledge of industry trends related to ICD-10.
  • Collects, tracks and analyzes ICD-10 trending data
Required Skills Primary Skills/Knowledge:
  • Experience with healthcare business processes. in-depth working knowledge of healthcare diagnosis and procedure coding (ICD-9) and knowledge of the ICD-10 code set
  • Experience with commercial data quality tools (e.g., DRG Grouper) to configure ICD codes, analyze, improve and control data quality
  • Familiarity with business process modeling
  • Extensive working knowledge of healthcare reimbursement concepts, particularly CMS and NYS DRG Grouping Methodology
  • Basic knowledge in CMS Medicare Advantage regulations as well as NYS DOH Medicaid
  • Ability to apply critical thinking and/or problem solving skills in order to identify an appropriate course of action and to reach a viable conclusion
  • Ability to manage multiple assignments simultaneously while maintaining quality standards and meeting assigned deadlines
  • Project coordination skills including business process modeling, strong follow-up, meeting facilitation and risk assessment/mitigation
  • Ability to maintain composure when addressing conflicting technical and business issues
  • Effective oral and written communication skills necessary to meet team collaboration, programming documentation and presentation standards
  • Ability to work in a fast-paced, collaborative environment with limited supervision
  • Ability to communicate clearly and concisely with all levels of the organization (technical and non-technical) and with outside contractors and vendors
Required Experience Preferred Education:
  • Associate's Degree in Health Information Coding or in a healthcare-related field required
  • Bachelor's Degree in Health Information Management or a related field of study preferred
Preferred Experience:
  • A minimum of two (2) years of work experience in acute inpatient coding or in a health plan required
  • (5) years of coding experience preferred
Working Conditions:
  • Must be able to occasionally attend off-site meetings, events, conferences
  • Must be able to work in an office environment
  • Must be able to accommodate regional travel. (DMV check will be conducted to review candidate's driving record)
  • Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively use a computer with all its components for prolonged periods of time and for the majority of required tasks
  • Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively utilize various office equipment (phone, computer, fax machine, printer, copier, filing cabinet, etc)
  • Physical Effort: Minimum; typical of most office work, mostly sedentary work.
  • Prolonged Sitting
  • Vision Req: Close vision (clear vision at 20 inches or less)
Required Licenses/Certifications:
  • Certified Coding Specialist (CCS) or Registered Health Info Tech/Admin (RHIT or RHIA)

About this company
12 reviews
HealthNow New York Inc. is one of New York’s leading health care companies that provide access to quality health care and innovative...