No C2C**
Required Skills & Abilities:
Excellent SQL skills and familiarity with all clinical and financial coding tables
Metric experience with pay-for-performance programs like QIP or HEDIS Development of “playbooks” for standardized coding
Desired Skills & Abilities:
Experience with payor claims and eligibility data elements and structures
Infrastructural skills in designing, transforming and using data structures including partitioning, data cleansing, to enable metric-related efficient queries. Balance between
data structure and query load. Ability to interpret specs independently, revaluate pseudo code, and question decision points as appropriate
Certifications
Supplemental program development experience