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Claims Analyst I

NCI Inc. Henrico, VA
  • Expired: over a month ago. Applications are no longer accepted.
  • Claims Analyst I
    Job ID2019-3830
    Job LocationsUS-VA-HenricoCategoryAnalyst (Business, Systems, Data)TypeRegular Full-Time
  • Responsibilities

    NCI:As the Claims Analyst, (Claims Analyst I) in Henrico, Virginia, you will have experience in working with case management of medical records, abstraction, and following policies for obtaining missing/incomplete medical record documentation. Your experience with medical records, knowledge of what constitutes required documentation in inpatient/outpatient medical records, physician office records, laboratory/radiology, and other types of medical records will provide first level expertise in clinical documentation review. ICD-10-CM/CPT-4 coding experience is also invaluable as well. Upon hire, on-the-job training will be given in our Richmond, VA office.In assuming this position, you will be a critical contributor to meeting NCI's mission: To deliver innovative, cost-effective solutions and services that enable our customers to rapidly adapt to dynamic environments.

    Highlights of Responsibilities:

    • Utilize medical record knowledge and experience in order to determine complete medical records.
    • Apply knowledge of ICD-10-CM and CPT-4 coding in order to determine services rendered.
    • Sort and notate medical record layouts, formats, and abstraction for a variety of medical settings.


    • Bachelors degree and 0-5 years of relevant experience, or Associates degree and 2-7 years of relevant experience, or HS Diploma and4-9 years of relevant experience.
    • At least two (2) year of experience in clinical documentation review/abstraction.
    • Works under general supervision; typically reports to a supervisor or manager.

    Preferred Education and Experience:

    • Medicaid/CHIP experience
    • LPN (Licensed Practical Nurse), CPMA (Certified Professional Medical Auditor), CDIP (Certified Documentation Improvement Practitioner), RHIT (Registered Health Information Technician), CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist - Physician), or CCA (Certified Coding Associate) are preferred.
    • Previous experience with review of Medical Claims and medical record requests.
    • Previous utilization review experience.

    Physical Requirements:

    • Sitting for long periods
    • Standing for long periods
    • Ambulate throughout an office
    • Ambulate between several buildings
    • Stoop, kneel, crouch, or crawl as required
    • Repeatedly lift and carry weight up to 15 pounds

    It is the policy of NCI to provide equal opportunity in recruiting, hiring, training, and promoting individuals in all job categories without regard to race, color, religion, national origin, gender, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other protected class or category as may be defined by federal, state, or local laws or regulations. In addition, we affirm that all compensation, benefits, company-sponsored training, educational assistance, social, and recreational programs are administered without regard to race, color, religion, national origin, gender, age, disability, genetic information, veteran status, sexual orientation, or gender identity. It is our firm intent to support equal employment opportunity and affirmative action in keeping with applicable federal, state, and local laws and regulations. NCI is a VEVRAA Federal Contractor.

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    NCI Inc.

    NCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. We have the expertise and proven track record to solve our customers’ most important and complex mission challenges through technology and innovation. We hold core competencies in delivering cost-effective solutions and services in areas such as: • Agile digital transformation • Advanced analytics • Artificial intelligence • Cybersecurity and information assurance • Engineering and logistics • Fraud, waste and abuse detection • Hyperconverged infrastructure Coupled with a refined focus on strategic partnerships, NCI is committed to bringing commercial innovation to missions of national importance for our customers!


    Henrico, VA