CMS claims submission and HCC coding experience. They need to understand the 837 process with MOR, MAO and MMR files and condition capture.
Risk Adjustment model and Claims submission.
3 plus years of Tapestry experience (cert is a plus),
Strong SQL Datamart,
5 plus years of Medicare Advantage experience,
Risk adjustment is a plus
Epic Clarity Data Model certification in one or more modules (EpicCare Inpatient, Hospital Billing, Prelude ADT, Radiant, Willow, Optime) or to be obtained within 120 days of hire.
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