Healthcare Data Analyst with Clinical Coding Expertise
6 days ago
Solventum is a leading healthcare payment system designer and maintainer, supporting over ten countries in budgeting and paying for inpatient and outpatient care. We pioneer innovations at the intersection of health, material, and data science.
About SolventumWe support more than ten countries on how they budget and pay for inpatient and outpatient care, and measure healthcare quality.
The primary responsibility of this role is to provide subject matter expertise in clinical content development, specification, documentation, validation, application, and maintenance of software modules related to population health Clinical Risk Groups (CRGs), Patient-focused Episodes (PFE) and Potentially Preventable Readmissions (PPRs) measures. These methodologies have a basis in diagnostic, procedural, and medication codes, and are used throughout the world to care management, population risk adjustment, bundled payment, budget, track, and set policy for value-based payment and care.
Key Responsibilities:- Work directly with the Chief Product Owner, Product Owners, and Research team to drive enhancements to the methodologies by translating clinical hypotheses into clinical logic content specifications using existing coding systems;
- Document and maintain clear clinical specifications;
- Collaborate with technical, quality, and clinical team members, integrating product concepts to implement and evaluate the clinical specification;
- Bachelor's Degree AND 5+ years' experience in the healthcare industry, ideally medical coding, reimbursement, CDI, and research;
- High School Diploma AND 9+ experience in the healthcare industry, ideally medical coding, reimbursement, CDI, and research;
- HIM credentials or Clinical Informatics background as it relates to claims data research, analysis, disease processes and treatment, medical terminology, anatomy, and physiology;
Estimated salary range is $85,000 - $110,000 per year, depending on location and experience. Additional benefits include Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits.
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