TrialCard

1099 Contractor - Diagnostics (Remote, US)

Job Locations US
Posted Date 1 week ago(11/21/2022 1:53 PM)
ID
2022-4044
# of Openings
1

Overview

Policy Reporter offers a suite of insights products and consulting services to enhance market access strategies and patient support initiatives. By tracking payer policies in near real time, we ensure that the largest pharmaceutical, medical device and diagnostics manufacturers, leading academic institutions and organized provider groups have the most up-to-date data and evidence-based guidance to help patients access the therapies they need. For more information, please visit https://www.policyreporter.com.

We are looking for a highly motivated individual with experience in the field of diagnostics - ideally precision medicine and clinical genomics - to help us provide valuable insights to our clients, who can commit at minimum 10-15h/week.

Responsibilities

  • Investigate and synthesize data on accessing diagnostic testing coverage from payer policies, forms, and special advisories
  • Prepare and update comprehensive reports on diagnostic coverage requirements and process reports and executive summaries for clients
  • Support the development of report templates for displaying diagnostic coverage insights that aligns with well-established reporting methodologies
  • Work collaboratively with Senior Research & Reporting Analysts to conduct analysis and generate insights in the form of dashboards/visualizations for clients
    • Act as subject matter expert providing insight into medical necessity, prior authorization, payment complexity
    • As required, the Diagnostics Contractor will liaise directly with clients on projects to present findings, and answer queries
  • Able to commit at minimum 10-15h/week

Qualifications

Skills Required

  • Intermediate to advanced Microsoft Office Suite, particularly Excel skills
  • Research competencies including but not limited to
    • Synthesizing and analyzing insights from large data sets
    • Summarizing, presenting, and defending findings to both internal and external stakeholders
    • Understanding of medical coding in the U.S. (CPT/HCPCS, ICD-10Dx) in the laboratory, physician, and hospital settings.
  • Excellent organizational and problem solving skills
  • High attention to detail
  • Effective verbal and written communication; ability to communicate and present findings to clients in a clear and concise manner

Experience Required

  • Experience in diagnostic healthcare 
  • Precision medicine and clinical genomics experience highly valued
  • 3+ years of professional working experience with coding, revenue cycle management, billing practices and reimbursement processes is preferred
  • Experience collaborating directly with clinicians/healthcare teams an asset
  • Experience in processing/approval of diagnostic coverage claims an asset
  • Experience with appeals process and compiling cost-benefit analysis an asset
  • AHIMA & AAPC certification or certification-eligible  not required but preferred 
  • Certified Coding Professional with any of these certifications is seen as an asset - Coding Specialist (CCS), OR Certified Professional Coder (CPC).
  • Special consideration given to candidates with any of the following certifications: Medical Auditing Certification (CPMA), Certified Health Data Analyst (CHDA), Certified documentation improvement practitioner (CDIP)
  • A Bachelor’s degree not required but preferred 

 

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