March 6, 2009 | Mark Paradies

Job Opening: New York, NY – HIP (Health Plan of New York) – Hospital Review Analyst – Needs Trending and Root Cause Skills

From the posting:

Assists area management in medical claims processing studies, to determine claims editing trends, documents root-cause and recommends changes in methods, procedures and policies to improve quality, and consistency with industry standard coding guidelines and identifies hospital claims system coding issues and assists in the formulation of system efficiency recommendations to ensure exceptions reduction through the implementation of automated coding rules.

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