![]() Accounted for and anticipated impacts to modules with respect to the transition from HIPAA 4010 to 5010 version.Coordinated with MMIS Legacy Team and Managed Care Team on behalf of ICD-10 Team in implementation of SCRs (System Change Request) and PCRs (Program Change Request) for the ICD-10 impacted modules.Applications and Operations Team, project team members (business and technical) to define technology application changes for the business and system requirements for the ICD-10 Implementation based on SDLC Cycle.Collaborated in JAD Sessions with Subject Matter Experts (SME), client's I.T.Performed Data Analysis and critical thinking to prepare Business and System Requirement Documents (BSRDs) for ICD-10 Version changes for compliance and operational improvement and communicated these requirements to the development team for the design and implementation of proposed business solutions.Documented the Current Business Process and prepared Solution Business Process for Paper and Electronic Claims Adjudication for ICD-10 Project using MS Office Suite.Worked on modules related to Third Party Liability, Prior Authorization, DRG Pricing, MRS Reporting, ANSI X12 and EDI, Claims and Eligibility Management, Provider/Network Management, etc.Worked on identifying and creating Impact Analysis Checklist Document by summarizing data from HIPAA 5010 Project and analyzing the impacted modules for transition from ICD-9 to ICD-10 version for Entry Screen Edits, Batch Edits, EDI Edits, Program Edits, Edit Error and Reports.Conducted client meeting with Medicaid Operations and Management Business team to understand the business process and identify reporting requirement, issues, technical problems and discuss suggestions for system improvement in upgrading the Nebraska Medicaid Management Information System (MMIS) from ICD-9 to ICD-10 Version. ![]() 2013 to Current Business System Analyst Advantage Solutions | Acworth, GA ,
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |