Integrated Healthcare Executive

Healthcare Data Operations Consultant

Craneware
Remote/Work From Home, United States
12 days ago

Description

Craneware is a fast-moving healthcare technology company and who offers automated value cycle solutions. We collaborate with US healthcare providers to plan, execute and monitor financial and operational performance. We are looking for passionate, innovative and experienced individuals with a specialized focus within data regulations to join our team of professionals.

We are currently seeking an experienced Healthcare Data Operations Consultant to join our dynamic Data Operations team. The Data Operations Consultant is a remote role and will be responsible for the maintenance and quality analysis of regulatory data used within Craneware products along with providing customer facing support and ongoing education.   This position reports directly to the Data Operations Lead Consultant.

 Job Responsibilities:

    • Researching, interpreting & updating regulatory logic, to ensure the products and services provided to customers are up to date and accurate.
    • Working with other Data Operations Consultants and Data Operations Lead Consultant to define logic for current and future product lines.
    • Acquiring, receiving and tracking the receipt of multiple data files types to determine their use within internal tools and software products.
    • Filtering and “cleansing” data, reviewing outputs and correcting problems to ensure compliance with internal and external requirements.
    • Managing customer expectations and service level agreements/timelines, ensuring that customers are kept informed at all times.
    • Maintain all departmental processes and procedures to detail the functions and data requirements of the products and company, to ensure accurate recording of processes and procedures.
    • Continuously monitoring healthcare related technical, industry and business trends and take responsibility for personal development, to ensure that the future needs of the company are met.
    • Working on complex Quality Assurance projects.
    • Providing customer facing support by researching and responding to inquiries related to billing, coding, compliance, chargemaster maintenance, etc.
    • Delivering customer facing educational sessions on complex regulatory, coding and/or reimbursement topics as required.
    • Present at industry events (e.g. HFMA annual meetings, NAHRI Revenue Integrity symposiums, etc.)

Why Craneware?

Craneware (AIM: CRW.L), the leader in automated value cycle solutions, collaborates with U.S. healthcare providers to plan, execute and monitor financial and operational performance so they can continue to drive better outcomes for the communities they serve. Craneware’s Trisus platform combines revenue integrity, cost management and decision enablement into a single SaaS-based platform. Our flagship solution, Chargemaster Toolkit®, continually earns KLAS recognition in the Revenue Cycle – Chargemaster Management category and is part of our value cycle management suite, which includes charge capture, strategic pricing, claims analytics, patient engagement, revenue recovery and retention, and cost and margin intelligence solutions. Learn more at craneware.com.

Craneware recently completed the acquisition of Sentry Data Systems, Inc., the nation’s leader in pharmacy procurement, compliance and utilization management and Agilum Healthcare Intelligence, an innovative pharmacy and financial analytics company focused on utilizing real-world data to deliver objective evidence for hospitals, life sciences companies and payers.

As a result of this acquisition, Craneware now serves nearly 40 percent of U.S. hospitals and more than 10,000 clinics and retail pharmacies across all the major pharmacy brands as well as local community pharmacies and clinics. With the quality and extent of the combined solutions from both companies, Craneware will deliver far-reaching actionable insights for better operational and strategic decisions, enabling further efficiencies in provider performance so they can focus on serving their communities and healthcare missions.



Requirements

Desired Experience and Skills - The ideal candidate will bring:

Experience - REQUIRED to be 100% successful in this role

  • 5+ years’ experience working in a hospital revenue integrity related field; e.g. coding, compliance, audit, chargemaster maintenance, etc.
  • Deep knowledge of Medicare OPPS/IPPS coding, reimbursement and regulatory information
  • Coding Certification or 15 years’ experience in a specific area of Medicare regulatory data
  • Broad knowledge in multiple areas of the healthcare regulatory arena

Skills

  • Microsoft Office and project management skills
  • Exceptional communications skills both verbal and written
  • Ability to self-plan and self-organize effectively and use appropriate tools for planning purposes
  • Proven track record of accuracy and thoroughness
  • Some experience of Public Speaking
  • Exceptional leadership and verbal/written communication skills
  • Highly organized with great attention to detail
  • Ability to stay on task while working independently
  • Results driven
  • Educated to Bachelor Degree

Job Information

  • Job ID: 57854182
  • Location:
    Remote/Work From Home, United States
  • Position Title: Healthcare Data Operations Consultant
  • Company Name: Craneware
  • Job Function: Coder/medical coder,
    Coding - Inpatient,
    Coding - Outpatient,
    Coding - Physician Services,
    Compliance/Corporate Compliance,
    Data Analysis and Reporting,
    Database Management,
    Education,
    HIPAA Compliance,
    Hospital/Health System Administration,
    Medical Billing,
    Reimbursement,
    Revenue Cycle Management,
    Revenue Cycle Manager
  • Job Duration: Indefinite
  • Min Education: Bachelors
  • Min Experience: 5-7
  • Required Travel: 0-10%
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