Anly Clinical Development

SOLVENTUM

19d • Remote

About The Position

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. As an Analyst, Clinical Content Development, you will be responsible for developing, enhancing, and incorporating ICD-10-CM/PCS coding edits content within Audit Expert (including HDM and the 360 platform), as well as DRG-related content. The role will also be responsible for developing and enhancing outpatient edits and incorporating CPT/HCPCS and PFS coding edits within our 360 platform. This role plays a critical part in ensuring compliance, accuracy, and value for our customers. Developing coding edits that address coding regulations. That focuses on compliant coding practices, DRG validation and coding quality. Developing coding edits that address coding regulations, that focuses on regulatory guidelines for ICD-10-CM/PCS, CPT/HCPCS, and PFS. Gather and analyze Voice of Customer feedback and input from internal teams (e.g., Consulting Services, Support, Nosology) to identify opportunities for product improvement and added value. Evaluate customer suggestions and requests for product/edit enhancements and determine feasibility for implementation. Collaborate with consulting services, audit specialists, and other teams involved with auditing solutions.

Requirements

• Bachelor’s Degree or higher (completed and verified prior to start) from an accredited institution AND (7) seven years of related job experience in impatient code auditing (ICD-10-CM/PCS) in a private, public, government or military environment OR High School Diploma/GED from AND (11) eleven years' experience in impatient code auditing (ICD-10-CM/PCS) in a private, public, government or military environment
• RHIT or RHIA certification
• CCS certification
• (3) years of experience with inpatient reimbursement and severity-adjusted models (i.e. MS-DRGs, APR-DRGs) and of inpatient denials management (i.e., DRG denials, RAC audits)
• Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Nice To Haves

• Bachelor’s degree in Health Information Management or Nursing
• Extensive experience with coding audits, RAC audits, DRG denials
• Experience working with state specific APR-DRGs
• Experience with DRG validation
• Experience with outpatient coding (CPT/HCPCS)
• Experience with inpatient clinical documentation improvement
• Experience working with international code sets
• Working knowledge and understanding of compliant coding
• Excellent attention to detail, time management and organizational skills
• Proficiency in Microsoft Office applications (Excel, Teams, Word, PowerPoint) with strong analytical skills
• Capacity for effective collaboration both within the organization and with external customers

Responsibilities

• Developing coding edits that address coding regulations.
• That focuses on compliant coding practices, DRG validation and coding quality.
• Developing coding edits that address coding regulations, that focuses on regulatory guidelines for ICD-10-CM/PCS, CPT/HCPCS, and PFS.
• Gather and analyze Voice of Customer feedback and input from internal teams (e.g., Consulting Services, Support, Nosology) to identify opportunities for product improvement and added value.
• Evaluate customer suggestions and requests for product/edit enhancements and determine feasibility for implementation.
• Collaborate with consulting services, audit specialists, and other teams involved with auditing solutions.

Benefits

• Solventum offers many programs to help you live your best life – both physically and financially.
• To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.
• Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees