Clinical Client Policy Data Analyst Zelis

1.0 - 5.0 years

0 Lacs

hyderabad, telangana

On-site

Role Overview: You will play a crucial role as a Clinical Coding Policy Analyst at Zelis India, where you will be responsible for clinically reviewing claims within the Clinical Coding Policy queues. Your expertise will be utilized to maintain up-to-date clinical guidelines for claim reviews and assist in edit ideation. Working closely with a team, you will analyze specific coding scenarios, provide root-cause analysis of edit performance issues, and contribute to process improvements. Key Responsibilities: - Provide in-depth clinical coding analysis of professional and facility claims based on new or updated edit logic - Conduct in-depth research on coding scenarios and collaborate effectiv...

Posted 1 month ago

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Clinical Client Policy Data Analyst Zelis

1.0 - 5.0 years

0 Lacs

hyderabad, telangana

On-site

You will play a crucial role in supporting various initiatives that enhance the healthcare financial experience at Zelis India. Your responsibilities will include reviewing claims within the Clinical Coding Policy queues and maintaining up-to-date clinical guidelines for these claims. You will also analyze specific coding scenarios, assist in edit ideation, and provide root-cause analysis of edit performance issues. Communication and teamwork are essential as you collaborate with the team and leadership to ensure edits are working as intended and to support decision-making with validation data. As the Clinical Coding Policy Analyst, you will work closely with leadership on departmental funct...

Posted 3 months ago

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