Req ID: RQ168888Type of Requisition: RegularClearance Level Must Be Able to Obtain: NonePublic Trust/Other Required: NoneJob Family: Program ManagementSkills:Analytical Thinking,Clinical Quality Measures,Detail-Oriented,Medical Billing and CodingCertifications:CPC: Certified Professional Coder - American Academy of Professional Coders (AAPC)Experience:3 + years of related experienceJob Description:At GDIT, people are our differentiator. As a Clinical Coding/Standards Specialist you will help ensure today is safe and tomorrow is smarter. Our work depends on a Coding/Standards Specialist joining our team to provide quality measure support services for our client.This program relates to maintenance of the quality measures and implementation support. This role ensures that our client is reaching their legislative mandates by transparently, efficiently and accurately developing and maintaining measures for national quality initiatives. This position will provide review and analysis of coding accuracy in accordance with accepted medical and legal standards, current CPT and ICD-10 codes, and our client's quality measure program and reporting standards.HOW A HEALTH CLINICAL CODING/STANDARDS SPECIALIST WILL MAKE AN IMPACT :
Performs ongoing assessment of clinical quality measures, changes/updates and annual quality measure management tasks.
Reviews documentation created by clinical and non-clinical staff for coding accuracy.
Assists with the preparation of training materials and supports training as needed.
Partners with clinical teams in reviewing requirements, coding specifications, testing, support, quality assurance and training plans to ensure they are aligned with business objectives and clinical quality measure standards (e.g., HL7, QRDA, CPT, ICD-10).
Works with business analysts to reviews/edit business requirements.
Researches and supports ad hoc narrative reports and option papers with minimal turn-around time and with a high level of accuracy.
Provides technical assistance regarding coding and/or measure reporting challenges in implementation of clinical quality measures (i.e., measure additions, validation processes, coding changes, etc.),
Serves as the primary point of contact for all coding and measure standards tasks.
When appropriate, prepares for and facilitates meetings for customers and other contractors, including agenda preparation and production of minutes.
Provides support on quality measure content and analytical issues as it pertains to the national quality initiative.
Provides coding and/or standards subject matter expertise and supporting materials for customers related to national outreach and education.
Verifies and analyzes report data when appropriate.
Reviews health care data technical specifications (i.e., claims, QRDA, HL7, etc.) for compliance from a technical and clinical perspective.
Other duties as assigned.
Actively supports the advancement of GDIT's diversity, equity and inclusion efforts.
WHAT YOU’LL NEED TO SUCCEED:
Bachelor’s degree from four-year college or university; or 3-5 years related clinical coding and standards experience and/or training; or equivalent combination of education and experience.
Current Certified Professional Coder certification through accredited agency (AAPC).
Ability to analyze and document clinical and technical standards.
Knowledge and use of standard coding systems (CPT, SNOMED, RxNorm, ICD-10, etc.).
Proficiency in MS Word, MS PowerPoint, MS Excel, and PDF documents.
Ability to coordinate multiple tasks, ensuring accuracy and attention to detail, and timely responses to customer inquiries.
Excellent verbal and written communication skills including presenting.
Ability to read, analyze and interpret professional journals, technical procedures or governmental regulations.
Ability to maintain professional and ethical working relationships.
Ability to interact professionally with a diverse customer group including executives, managers, subject matter experts, stakeholders and team members.
DESIRED QUALIFICATIONS AND EXPERIENCE:
Outlook, Word, Excel, Confluence and Jira.
Effective organizational skills
Proficiency in the use of word processing, spreadsheet, and other related software applications.
Advanced knowledge of program requirements.
Prefer experience with clinical quality measures (at least 2 years of experience).
GDIT IS YOUR PLACE:
401K with company match.
Comprehensive health and wellness packages.
Internal mobility team dedicated to helping you own your career.
Professional growth opportunities including paid education and certifications.
Cutting-edge technology you can learn from.
Rest and recharge with paid vacation and holidays.
#GDITPublicHealthJobs#GDITJobsOur benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match.To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees.To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available.We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.
