Business Analyst, Medical Professional


SUMMARY

Context 4 Healthcare, Inc., located in Naperville, Illinois, is a world class employer where ingenuity and passion are welcomed. We are a market leader in healthcare claims compliance, reimbursement and regulatory solutions. We value our employees, clients and partners and dedicate our efforts to their success. 

The Business Analyst, Medical Professional will be responsible for checking Federal Rules and Regulations as they apply to claims editing, with a focus on professional and supplier medical 1500 claims editing.

The candidate must have experience with medical coding and billing and/or claims editing. Other skills include being detail-oriented, precise and thorough. Accuracy is our main focus in this role. Knowledge of medical terminology is a must, as is a broad understanding of health insurance administration processes and standard guidelines, with an emphasis on professional and supplier CPT/HCPCS coding, ICD10-CM codes, as well as the CMS-1500/HCFA-1500 claim form and the 847p electronic claim format.

Candidates must be authorized to work in the United States. Context 4 Healthcare chooses not to employ persons who require sponsorship for an employment visa, such as an H-1B visa.

This is a full-time position in our Naperville, IL headquarters.

KNOWLEDGE AND SKILL REQUIREMENTS

  • At least two (2) years of experience with professional and supplier medical billing. 
  • Knowledge of CPT/HCPCS codes and ICD10-CM codes, and the CMS-1500/HCFA-1500 claim form.
  • Extremely detail-oriented, precise and thorough.
  • Knowledge of medical terminology.

PREFERRED QUALIFICATIONS 

  • Coding Certification (AAPC or AHIMA), RHIA or RHIT.
  • Knowledge of medical coding systems (CPT, HCPCS, ICD10-CM). We are willing to train the right candidate with professional and supplier medical billing experience.

Resumes not meeting these requirements will not be considered. 

Please send your resume and cover letter to: steve.madland@context4.com