What are the responsibilities and job description for the Managed Care Data Coordinator position at North Mississippi Health Services?
Posting Description At North Mississippi Health Services, our mission is to “continuously improve the health of the people of our region.” We aim to “provide the best patient and family-centered care and health services in America.” We believe that fulfilling our mission and vision calls us to embrace the best people who form incredible connections with our patients and families. We take pride in celebrating everything that makes you unique—your talents, perspectives, and passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. You know what connected feels like when you are part of our team. #WhatConnectsYou Job Description Contract Management: Ability to research, analyze and communicate payer trends to identify reimbursement and training opportunities Ability to gather, analyze and refine complex data sets from a variety of Managed Care reimbursement methodologies and practices.
Ex: ICD-10, CPT/HCPCS, APR-DRG, DRG etc… Work with ancillary departments to resolve payer questions Expert communication skills to effectively address payer issues Ability to build, analyze and review financial impact for contract negotiations Ability to build contracts in the contract modeling tool Stay current with CMS Methodology through research and education sessions Information Management : Interpret data and analyze results to meet information and financial needs of the organization Excellent computer proficiency including experience with MS Excel functions that include vLookups, pivot tables, filtering and formulas to generate desired results Utilizes analytical tools to prepare reports (i.e. spreadsheets, graphs etc.) Coordinates the development, testing and implementation of tools owned or supported by the Managed Care Department Reporting: Develops databases for contract management (as needed/requested) Ensure report(s) are accurate and complete based on the requirements Communication: Work and guide payment resolution specialists in scope of work Effectively communicates with other departments, vendors and payers (as necessary) Customer Service : Work with Payors to develop and maintain a positive working relationship Work with other departments within the organization to coordinate and secure information needed Regulation: Adheres to NMHS/NMMC Policies/Procedures/Guidelines Complies with applicable Local/State/Federal procedures, guidelines, regulations and laws Requirements: Bachelor Degree in Business, Accounting or health related field or 2 years additional hospital experience. Minimum of 3-5 years’ experience in business, accounting, coding or revenue cycle; preferred Working knowledge of computer competencies in the following applications:
Programming, Database, Word Processing, Presentation Software, Spreadsheets, and Graphics; required Good written and verbal communication skills; required Excellent organizational, analytical, and creative thinking skills; required Knowledge of clinical terminology; preferred
Ex: ICD-10, CPT/HCPCS, APR-DRG, DRG etc… Work with ancillary departments to resolve payer questions Expert communication skills to effectively address payer issues Ability to build, analyze and review financial impact for contract negotiations Ability to build contracts in the contract modeling tool Stay current with CMS Methodology through research and education sessions Information Management : Interpret data and analyze results to meet information and financial needs of the organization Excellent computer proficiency including experience with MS Excel functions that include vLookups, pivot tables, filtering and formulas to generate desired results Utilizes analytical tools to prepare reports (i.e. spreadsheets, graphs etc.) Coordinates the development, testing and implementation of tools owned or supported by the Managed Care Department Reporting: Develops databases for contract management (as needed/requested) Ensure report(s) are accurate and complete based on the requirements Communication: Work and guide payment resolution specialists in scope of work Effectively communicates with other departments, vendors and payers (as necessary) Customer Service : Work with Payors to develop and maintain a positive working relationship Work with other departments within the organization to coordinate and secure information needed Regulation: Adheres to NMHS/NMMC Policies/Procedures/Guidelines Complies with applicable Local/State/Federal procedures, guidelines, regulations and laws Requirements: Bachelor Degree in Business, Accounting or health related field or 2 years additional hospital experience. Minimum of 3-5 years’ experience in business, accounting, coding or revenue cycle; preferred Working knowledge of computer competencies in the following applications:
Programming, Database, Word Processing, Presentation Software, Spreadsheets, and Graphics; required Good written and verbal communication skills; required Excellent organizational, analytical, and creative thinking skills; required Knowledge of clinical terminology; preferred
