Job Description

JOB DESCRIPTION Role Proficiency: Independently support customer applications by monitoring and resolving the system issues. Guides other associates and assists Lead 1 - Production Support Outcomes: Understand the application/feature/component and issues related to the same from Business users to resolve issues and create required SOPs/Runbooks Monitor triage and resolve higher severity issues pertaining to systems/applications/infrastructure tools for end users via phone chats and/or via email Identify the problem patterns and suggest better resolution techniques Optimise efficiency cost and quality by identifying opportunities for automation/process improvements Proactively identify issues/defects/flaws in application take necessary measures to address Assist Lead 1 - Production Support on troubleshooting and Issue resolution begin demonstrating Lead 1 capabilities in making critical decisions Mentor Trainee Associate and Associate I II- Production Support to become more effective in their roles Act as the technical SME for troubleshooting/resolving any reported production incident/ticket/issue Learn business domain technology and system domain individually and as recommended by the project/account Measures of Outcomes: Adherence to engineering process and standards Adherence to schedule / timelines Adhere to SLAs where applicable # of issues resolved # of non-compliance issues with respect to SOP Reduction of reoccurrence of known defects Quick turnaround of production bugs Defined productivity standards for the team # of new runbooks created # of production jobs automated # of new monitoring dashboards introduced Completion of applicable technical/domain certifications Completion of all mandatory training requirements Outputs Expected: Issue Resolution: Analyse and resolves the incidents/tickets within the optimal MTTR (Mean Time To Resolve) Training: Attends one on one need-based domain/project/technical trainings as needed Provides need-based training to juniors on the team Escalation: Escalate problems to appropriate individuals/support team based on established guidelines and procedures. Where applicable monitor progress of requests for support and ensure users and other interested parties are kept informed. Document: Create documentation for one\'s own work Automation: Identify opportunities for automation/process improvements that help in optimising cost and improving quality Mentoring: Mentor juniors on the team Set FAST goals and provide feedback of FAST goals to mentees Status Reporting: Report status of tasks assigned Comply with project related reporting standards/process Manage knowledge: Absorb and contribute to project related documents share point libraries client universities Release: Adhere to release management process Skill Examples: Identify triage and resolve issues reported by customer Log Monitor and report issues as defined by SLAs Develop runbooks SOPs and dashboards Problem solving approach Manage and guarantee high levels of quality Team Player Good written and verbal communication abilities Proactively ask for help and offer help Knowledge Examples: Appropriate software programs/modules/ tools Operating Systems and software platforms Integrated development environment (IDE) DBMS Programming Languages Software life cycle methodology E.g. Agile methods Knowledge base of customer domain and about sub domain where problem is solved Proactively ensure the highest levels of systems availability Agile methods Additional Comments: Pay Range: A2B FLSA Status: NonExempt Job Code: E09269 POSITION DESCRIPTION Certified Medical Coder I SUMMARY: Certified MRA Coder I, will perform Retrospective Review to assist healthcare providers in identifying and resolving issues related to incomplete or missing clinical documentation. Increase accuracy, completeness and compliance with clinical condition documentation to enable providers to deliver quality of care. RESPONSIBILITIES/TASKS: . Ensures compliance with all applicable Federal, laws and regulations related to coding and documentation guidelines for Commercial and Medicare Risk Adjustment Payment System. . Performs remote medical record review to capture of all relevant diagnosis codes included in the CMS and HHS Hierarchical Condition Categories (HCC) conditions for Commercial and Medicare Risk Adjustment Payment system. . Focus on retrospective coding to close HCC gaps and add HCC codes not reported. . Ensure diagnosis codes are supported by the documentation and ensure adherence with ICD-10CM Guidelines for Coding and Reporting. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS: EDUCATION: High School degree or equivalent required. Bachelor\'s degree in a related f ield preferred. Successful completion of a coding license or certificates CPC, COC, CRC, CCSCPMA, or CCS-P. Continuous learning, as defined by the Company\'s learning philosophy, is req uired. Certification or progress toward certification is highly preferred and encouraged. EXPERIENCE: One (1) year HCC coding experience. Experience and understanding of CMS HCC Risk Adjustment coding and data validation requirements. Successful completion of a coding certificate program. CPC, COC, CRC, or CPMA f rom AAPC, or CCS-P, CCS, f rom AHIMA. Initial demonstration and maintenance of continuing education/membership is required. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: . Excellent organization and problem-solving skills. . Strong oral and written communication skills. . Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology, and concepts of disease processes. . Extensive knowledge of and ICD-10CM coding guidelines and AHA Coding Clinic. . Advanced technical skills for use of MS Office (Excel, Word, Outlook, and PowerPoint) as demonstrated through successful completion of a skills test. . Demonstrated ability to utilize a variety of electronic medical records systems. . Ability to manage a significant work load, and to work efficiently under pressure, while meeting established deadlines with minimal supervision. . Demonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization. . Strong time management skills. . Must possess a high degree of accuracy, efficiency, and dependability. . Excellent written and oral communication for representation of clear and concise results. WORKING CONDITIONS: Work is performed Remotely. The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. We are an Equal Opportunity Employer. Diversity is valued, and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an \'at will\' basis. Nothing herein is intended to create a contract.

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