Medicare Claims Analyst

at Kelsey-Seybold Clinic
Location Pearland, TX
Date Posted February 6, 2018
Category Claims/Billing
Job Type Full-time


Utilize DRG and other pricing tools and apply applicable reimbursement outcomes claims. Demonstrated understanding of DRG pricing methods, Outpatient Prospective Payment System Mechanics, Outliers and Case Rate Payment Mechanics. Conduct pre/post analysis of high dollar claims and present summary to management. Apply knowledge of Centers for Medicare & Medicaid Services (CMS) rules specific to DRG...