i3 Verticals Healthcare Jobs (2)

JOB TITLE : Data Analyst DEPARTMENT : Merchant Accounting REPORTS TO : Director of Merchant Accounting SUPERVISORY RESPONSIBILITIES : No JOB LOCATION : Greater Nashville Area preferred;

Murfreesboro Area would be considered TRAVEL : 0-10% SUMMARY OF POSITION : The Data Analyst position is a key team member of the Operations unit within the i3 Verticals Corporate team.

This position reports to the Director of Merchant Accounting. The primary function of this position is to support the Director of Merchant Accounting in the analysis of company portfolios.

While this position is designed to support the Director of Merchant Accounting, the Data Analyst will be expected to be an independent agent of change.

This position will compile raw data files into databases and templates to generate trend lines, journal entries and review data for accuracy and completeness.

This position will generate data into monthly reports, research trend lines and forecast effect of pricing changes. This person must be a self-starter, comfortable taking initiative and driving projects that may directly impact company-wide operations.

ESSENTIAL DUTIES & RESPONSIBILITIES :

• Utilize all parts of the data analytics pipeline, such as data collection, wrangling, cleaning, analysis, reconciliation, trendlines with attention to detail and accuracy
• Reviewing, balancing and reconciliation of Merchant Funds Processed, Rejected and Settled by various Credit Card Processors
• Translate financial data for multiple payment processors into journal entries for Finance
• Diagnose and troubleshoot reconciliation issues, profitability, margin, pricing and processing
• Critical thinking and problem solving. Ability to find multiple paths to a solution
• Monitor merchant & agent rate changes across multiple processing platforms
• Prepare reporting for Residuals team and research questions on accounts
• Create and maintain documentation & trendlines to assist in future problem resolution
• Assist auditors in obtaining necessary data for audits. Identify, develop and maintain continuous auditing / monitoring activities.
• Other as ad hoc tasks as directed

MINIMUM QUALIFICATIONS (EDUCATION AND EXPERIENCE) :

• Bachelor’s Degree required
• Proficient to Expert level Microsoft Excel, Microsoft Access database and queries
• Troubleshooting and resolution implementation skills
• Excellent critical thinking and problem-solving skills
• Analytical skills
• Basic accounting and / or finance background

PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE) :

• Preference given to those with experience in the Payments Processing Industry

JOB TITLE : Medical Coding Specialist

DEPARTMENT : Healthcare Vertical : ACS

REPORTS TO : Assistant Manager and / or Manager

SUPERVISORY RESPONSIBILITIES : no

JOB LOCATION : Metairie, LA 70001

TRAVEL : no

SUMMARY OF POSITION : Medical Coding Specialists work weekdays in our comfortable friendly office environment using professional accurate communication and computer skills to handle various aspects of healthcare coding, charges, coding-related claims work, and revenue collection on behalf of Healthcare Providers.

Relevant education, experience or knowledge in coding is required. A good work ethic, reliability, and willingness to learn and grow with our company are essential.

PRIMARY RESPONSIBILITIES : Coding Team Members are assigned to one or more healthcare provider accounts and are asked to complete various tasks specifically related to coding, within the scope of our Revenue Cycle Process.

Tasks may include but are not limited to :

• Assigning and sequencing appropriate CPT, HCPCS, CDT, ICD-10, and other codes along with appropriate and applicable modifiers
• Review of medical and clinical documentation, CCI, and Global Edits to verify correct coding
• Filing of electronic or paper claims including those requiring special handling, additional info, or attachments
• Assisting with coding-related electronic claim errors or rejections
• Use of billing software and insurance web-portals to respond to coding-related payer denials including making any appropriate claim corrections or adjustments, providing additional information as requested or needed, and following through until claims are resolved
• Maintaining current working knowledge of best coding practices as well as payer and regulatory changes by accessing resources such as NCD’s, LCD’s, coding policies, and other professional resources, as well as participating in continuing education
• Communication with other team members and managers to contribute to resolution of issues, operational efficiencies, and the overall goal of AR resolution
• Maintaining data integrity, following company policies and guidelines, strict adherence to HIPAA laws
• Assignments may change based on account needs and employee strengths within the scope of our overall Revenue Cycle Process.

MINIMUM QUALIFICATIONS (EDUCATION AND EXPERIENCE) :

• High School diploma or GED
• 1-3+ years coding experience

PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE) : These skills are a plus, but not initially required, and will be taught, learned, and may be used as a measurement of progression during the initial months of employment.

• Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA / AAPC.
• Prefer that the required 1-3+ years coding experience be in multispecialty professional, inpatient, outpatient, and ambulatory arena
• Understanding of CPT, HCPCS, CDT, and ICD-10 codes as well as medical terminology.
• Knowledge of medical business and revenue cycle operations
• Functioning knowledge of Office Applications (Word, Excel, Email etc.)
• Strong written and verbal communication skills with ability to communicate clearly and concisely to coworkers, clients, patients, and others
• Ability to read, understand, and follow oral and written instructions
• Ability to establish and maintain effective working relationships with other team members, as well as supervisors, managers, clients, staff, and providers
• Ability to multi-task independently and / or with a team while maintaining respect and professionalism
• Ability to prioritize workload and manage multiple responsibilities in a highly organized, efficient, and effective manner