[Remote] MEDICARE POLICY ANALYST

Note: The job is a remote job and is open to candidates in USA. Solventum is a new healthcare company focused on improving lives through innovative solutions. The Medicare Policy Analyst will research and analyze Medicare payment policies, organize content in a proprietary database, and implement solutions to help healthcare providers comply with regulations and ensure proper payment for medical care.ResponsibilitiesResearching and analyzing Medicare payment policies and regulatory changes in order to organize and update content in our proprietary databasePreparing and delivering new files and updates to customersCorresponding with CMS or other payers to clarify policy ambiguities or publication errors. Responding to inquiries about our data or working with customers to resolve issues. Leading QA and analyses of data we build or acquireImplementing solutions that help hospitals, clinics, and doctors comply with regulations and attain proper payment for medical careCollaborating with skilled colleagues to devise solutions to tricky challengesDetermining how to best organize and represent information to meet client or software needsContributing ideas that advance and improve your team’s products & processesSkillsBachelor's Degree or higher AND (4) four years of healthcare or medical coding experience in a private, public, government or military environmentHigh School Diploma/GED from AND (8) eight years of healthcare or medical coding experience in a private, public, government or military environmentRegistered Nurse (RN)Experience in health information systems or medical billingAny of the following: CCS-H, CCS-P, CPC, CPC-P, COC, CCA, RHIT, RHIA Certified, or a strong working knowledge of ICD-10, CPT & HCPCS coding practicesExperience supporting, using, or implementing an HIS system – especially for coding, compliance, billing, or insurance claim adjudicationUnderstanding of medical terminology, procedures & diagnosesKnowledge of the common disease processes, common treatments, and diagnostic tests Medical coding, billing, or auditing background – esp. hospital outpatientKnowledge of medical insurance payment policies or processesStrong organization skills; must be able to meet frequent short-term deadlinesAbility to work independently and collaboratively with team membersStrong computer & data analysis skills (e.g. MS Office, Excel, use of databases, or helping design or troubleshoot software solutions – especially related to medical payments or compliance)Great reading comprehension with ability to interpret complex regulatory documents and extract key conceptsBenefitsMedical, Dental & VisionHealth Savings AccountsHealth Care & Dependent Care Flexible Spending AccountsDisability BenefitsLife InsuranceVoluntary BenefitsPaid AbsencesRetirement BenefitsCompany OverviewSolventum creates innovative products and services that enable better, smarter, safer healthcare to improve lives. It was founded in 2023, and is headquartered in Minnesota City, Minnesota, USA, with a workforce of 10001+ employees. Its website is https://www.solventum.com/en-us.