Reporting Analyst Job Listing at MedStar Medical Group in Washington, DC (Job ID req38180)

Description

General Summary of Position
Responsible for assuring that all regulatory reports for all regulatory agencies are sent to each jurisdiction on or before the assigned due date and performing data quality checks on all regulatory reports prior to submission. This position acts as a liaison between Medicaid and all internal departments and external vendors to interpret and apply Medicaid contract/regulatory requirements. Ensures departmental policies and procedures are compliant with the Medicaid contract and state and federal regulations.

Primary Duties and Responsibilities

Minimum Qualifications
Education

• Bachelor's degree In Healthcare Administration, Project Management, Business Administration or related field required

Experience

• 5-7 years Experience in managed care or healthcare related organizations, with 5 years' experience in project management and/or compliance oversight experience. required
• Technical experience - Excel, SQL preferred

Knowledge, Skills, and Abilities

• An in-depth understanding of national reimbursement mechanisms (CMS-1500, UB forms, ICD-10, PPS, CPT, HCPCS) as well as local regulatory environment.
• Strong understanding of compliance activities around claims, enrollment, call center, utilization management, etc. related data.
• Strong process management and time management skills with ability manage strict competing deadlines and provide oversite to reporting processes.
• Ability to convey verbal and written information effectively.
• Ability to follow verbal and written instructions.
• Verbal and written communication skills.
• Computer skills preferred.

This position has a hiring range of $63,793 - $113,318