Johns Hopkins Medicine Business Analyst - Code Auditing in Glen Burnie, Maryland

Business Analyst - Code Auditing

Johns Hopkins Health Care,
Glen Burnie, MD
Requisition # 152183
Day Shift
Full Time (40 hours)
Weekend Work Not Required

Johns Hopkins employs more than 20,000 people annually across our health system. Upon joining Johns Hopkins, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join an employer that is a leader and innovator in the healthcare field.

The Business Analyst - Code Auditing position reports to the Manager of Operations Business Support and is responsible for the implementation, maintenance and optimization of the code auditing software (McKesson ClaimCheck®) for all lines of business/claims systems, and it’s derivatives for business solutions for operations. The Business Analyst for code auditing will take responsibility for coordinating business decisions and integrating future-state workflow designs for code auditing software to support strategic objectives; and ensure information technology supports business practices and financial integrity in current and prospective claims systems. The Business Analyst will assist with implementation of information systems solutions to promote strategies to enhance claims processing and assures that all customers are equipped with the knowledge, skills, and equipment to maximize their use of the systems.

Knowledge of managed care operations and medical coding (CPT, ICD9, ICD10, DME, HCPCS).

Experience with MS Office, McKesson Claim Check®, Excel, and claims systems (preferably MC400, IDX) strongly preferred.

Ability to make effective presentations to internal and external groups.

Requires an Associates Degree, with a Bachelor’s Degree in Business, HealthCare Management or related field preferred. Additional related work experience may substitute for some educational requirements.

Requires five to seven years of experience in the healthcare industry including 3 years with claims processing / code auditing within a managed care environment.

Certified Professional Coder (CPC) license required.

Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity,sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.