Req ID:293162
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a Software Development Specialist to join our team in Bangalore, Karnataka (IN-KA), India (IN).
BA Required Skills set edu and JD Mandatory Requirement: 6+years of experience in Business App in the US healthcare space. Education: Bachelor's in Medicine, RN, BPT, BHMS, BAMS, Biotech Rich understanding of Revenue Cycle Management processes and Health plan processes like Claims filing, Billing, claims adjudication, benefits, provider contracting, Pricing and Recovery and reimbursement optimization. Experience in payment integrity processes like clinical investigations, SIU, FWA Working knowledge of different concepts of US healthcare domain Thorough hands-on experience in multi-speciality coding such as Surgery, E/M, Radiology, pathology, Anaesthesia coding, Hospital clinical audits, Itemized bill reviews Working knowledge of Medical record review & coding- ICD, CPT/HCPCS Certified Coders- CPC, COC, CIC with 5+ years of hands-on coding experience Working knowledge of hospital & DRG coding Experience as a Business/Systems Analyst across the product development life cycle. Aptitude for understanding and solving problems, deal effectively in high pressure, relate to actual day- to-day work to business priorities and to teach others what you have learned. Ability to research, analyse and interpret key findings for use in developing enterprise-wide business solutions. Must have interpersonal skills essential to communicate effectively, written and oral, with internal and external personnel at various levels Experienced in use of predictive modelling to increase and optimize customer experiences, revenue generation, ad targeting and other business outcomes. Responsibilities Elicit, gather, create and document business requirements. Act as a liaison between development team, QA team and business stakeholders for multiple RCM engagements. Assist project team in developing, monitoring and managing technology support and operational implementation work plans. Develop tracking/trending documents, assist in validating new products and features, prepare and deliver final reviews and presentations as needed. Facilitating pre-implementation/rollout workshops/trainings with all relevant stakeholders. Use secondary research and industry published sources to evaluate market needs and create innovative and appropriate data solutions and data analysis KPI's for the measurement of Payment Integrity / Revenue Cycle Management (RCM) processes. Work independently and provide proactive leadership in a complex environment with multiple teams of solution architects/technical leads.
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About NTT DATA
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com
NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.