"Alerted.org

Job Summary

Under minimal supervision, formulates and defines business alignment of medical coding and billing criteria through research and fact-finding, combined with an understanding of applicable business systems and industry requirements. With this knowledge, develops or recommends policy associated with medical, billing, and coding requirements. Provides detailed interpretation of medical coding concepts and applicability to business system and industry standards. Includes analysis of claim data, industry standard guidelines, business needs, documenting requirements, and aligning new or existing system logic issues as necessary. Consider the business implications of the application of technology to the current business environment. Assists and advises less-experienced Business Systems Analysts. Candidates should have strong business acumen and extensive medical coding and billing knowledge. Competent to work in some phases of systems analysis but may require guidance in others.

Essential Functions

+ Under minimal supervision, with the implications of the application of new/differing technology to the current business environment in mind, utilizes research and analysis, along with an understanding of relevant business systems and industry requirements, to define systems scopes and objectives for developing new, or improving existing, information systems.

+ Performs business analysis, workflow analysis and optimization, works with users to define their needs and then document requirements.

+ Collaborates with others to troubleshoot issues with existing systems.

+ Remains current with business requirements and needs, based upon future industry trends and changes and understands the implications for existing technology.

Qualifications

Required

+ Associate’s degree technical school or equivalent

+ 2 years of relevant experience in the field

Preferred

+ Bachelor's Degree or equivalent

+ 3 years of relevant experience in the field

+ Experience formulating and defining systems scopes and objectives

+ Experience in systems development lifecycle, including requirements gathering and design

+ Participant in multiple phases of integrated system implementation

+ Background in health care, sciences or information systems

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

+ Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) .

+ On-demand pay program powered by Payactiv

+ Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

+ Optional identity theft protection, home and auto insurance, pet insurance

+ Traditional and Roth retirement options with service contribution and match savings

+ Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Priority Health - 1239 E Beltline - Grand Rapids

Department Name

PH - Medical Code Review

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. - 5:00 p.m.

Days Worked

Monday - Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.