Medical Affairs Coordinator - West Columbia, United States - LanceSoft

LanceSoft West Columbia, United States

1 week ago

Description

50% Provides clinical expertise, research, and judgment to develop Local Coverage Determinations(LCDS) under the direction of medical director. Maintains LCDS once developed.
35% Educates providers and internal customers on LCDS. Communicates with other interdepartmental staff in appropriate coding and reimbursement guidelines to ensure coordination and compliance.
15% Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability.

Required Skills and Abilities:
Knowledge of managed care or medical claims payment policy issues. Working knowledge of word processing, spreadsheet software. Excellent verbal and written communication skills. Excellent customer service, organizational, presentation, analytical or critical thinking skills. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion.

Required Software and Tools:
Microsoft Office

Preferred Skills and Abilities:
Working knowledge of database software. Knowledge of government/healthcare programs and contracts laws, regulations. Knowledge of government/healthcare programs and regulations, coding, and approval practices. Knowledge of corporate administrative/medical policy for all lines of business. Knowledge of guidelines, benefits, and coverage for all lines of business.

Preferred Software and Tools:
Working knowledge of Microsoft Access or other database software, DB2 and Easytrieve.

Work Environment:
Typical office environment. Some travel required.

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