please revert me with resume @ [email protected]

*In-depth knowledge of codes, e.g., CPT, ICD-9, HCPCS, DRG, and ASC
grouping*

*Health care Experience*


Hi

I have an urgent requirement with one of my clients, details given below.
If you find your self suitable for the position, please send me your latest
updated resume along with contact details. Please include your employer
details as well.



*Job Title*

Qa Tester

*Project Location*

Miami, FL

*Duration*

6 months /Contract


*Skills Required and Job Description:*

*MOI:- Phone + Face 2 Face/Skype*

* ***HEALTHCARE EXPERIENCE REQUIRED.*



* Knowledge & Experience *
*Working experience in Quality Assurance, preferably in Health Care
Configuration
*Experience in system configuration activities in health care Business
Administration strongly preferred
*Strong working knowledge of claims adjudication, and contractual
interpretation
**In-depth knowledge of codes, e.g., CPT, ICD-9, HCPCS, DRG, and ASC
grouping*
*Strong process/work flow development & execution skills required
*Ability to work on multiple projects/jobs, audits, etc. simultaneously
with maximum efficiency providing desirable results and meeting deadlines
*Strong analytical/quantitative and critical thinking skills
*Excellent interpersonal, written, and oral skills required w/ an emphasis
on attention to detail & quality control
*Strong ability to influence change
*Ability to work with high level concepts and in ambiguous situations
*Excellent organizational skills
*Project management experience, preferred



*Position Requirements:*
Formal Education & Certification
*Masters in Business, Computer Science, or Health Administration preferred;
Bachelor's required
*Minimum three to five years experience in system analysis in a health or
managed care environment preferred
*Advanced skill level in Microsoft Office Products (Excel, Word,
PowerPoint, Access, Visio), Business Objects, Visual Basic, or SQL
*Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or
other related coding certification preferred (if not attained, willing to
acquire within the first year of hire)
*Understanding of the Standards for the Professional Practice of Internal
Auditing



*Responsibilities:*
Strategy & Planning
*Provide expertise to design, develop, and maintain systems and processes
for the prospective timely audit of quality control processes and
identification of internal errors with contractual language and
configuration of providers, facilities, and ancillary contracts and member
benefits.
*Develop and create audit reports and quality findings to assist with
monitoring and reporting to management for staffing corrective actions as
appropriate and tracking and trending
*Develop and maintain a system of checks and balances to assure that the
underlying data used for quality auditing is consistent, complete,
accurate, and provides value across several functional areas of the
department.
*Serve as the expert in the design, development, and implementation of
departmental wide testing and audit procedures.
*Apply knowledge of configuration quality assurance best practices.



Thanks & Regards,

*Viren Kumar*

Technical Resource Specialist

*RG Talent Inc*

*39120 Argonaut way*
* Suite # 157, Fremont CA 94538*

Phone : 510-443-0758 Ext - 139

Email : [email protected]

URL : www.rgtalent.com

YIM/GTalk --> viren.rgtalent

In my absence please contact *Rugen* at following address
[email protected]

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