Financial Management Healthcare ICD-10 Consultant

Profile

The healthcare consultant will perform the following responsibilities:
Conduct analysis of health plan and provider functional areas to identify impacts, opportunities and risks related to the implementation of ICD-10, create high quality client deliverables based on project tasks completed, Interact with clients to complete project tasks, work collaboratively with other project team members to develop creative solutions,
probe client contacts to obtain data required to complete project tasks and Deliverables, develop effective client relationships, manage scope of activities to those defined in the project charter, maintain current knowledge of industry trends related to ICD-10 and contribute to development of assets, tools and solutions for the FM ICD-10 practice.
The world continues to get smaller and flatter. But we see now that being connected isn't enough. Fortunately, something else is happening that holds new potential: the planet is becoming smarter. We believe that IBM is uniquely positioned to help because of our depth of resources, our expertise and experience with the most forward-thinking institutions, governments and businesses around the world.
To ALL recruitment agencies: IBM only accepts resumes from agencies on our preferred supplier list. Please do not forward resumes to our applicant tracking system, IBM employees, or send to any IBM company location. IBM is not responsible for any fees related to unsolicited resumes.
Required
* Bachelor's Degree
* At least 1 year experience in Health Plan Operations (Claims, Benefit Configuration).
* At least 1 year experience in Efficiency with Microsoft Office.
* Basic knowledge in ICD10 and/or ICD 9 Codeset.
* Readiness to travel 75% travel annually
* U.S. citizenship required
* English: Basic knowledge
Preferred
* At least 3 years experience in Health Plan Operations (Claims, Benefit Configuration).
* Basic knowledge in Provider Reimbursement methodologies.
* Basic knowledge in Provider or Health Plan experience with Health Management Programs (Disease Management, Care Management, Utilization Management, Wellness Programs).
* Basic knowledge in CMS Medicare Advantage regulations.
* At least 3 years experience in Efficiency with Microsoft Office.
* At least 6 months experience in ICD10 and/or ICD 9 Codeset.
* Basic knowledge in CMS Medicaid regulations.
* Basic knowledge in Access Database.
* Basic knowledge in AHIMA certified coder.
* English : Intermediate
NOTE: This role can be located in any large metropolitan US City.
Post Date:
20130102
Department:
Consulting & Services
DICEIDIBMIIRC
IBM
Web: ****

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