Associate - Clinical Informaticist (Contract)

Your Role

Innovaccer is seeking a Clinical Specialist with expertise in suspect logic development, medical coding, and value set curation. The ideal candidate will have a strong background in clinical terminologies such as ICD, CPT, LOINC, SNOMED, and HCPCS, with a passion for creating precise and efficient suspect logic to drive healthcare insights

A Day in the Life 

1. Value Set Curation:

• Develop, review, and maintain high-quality value sets for medical coding terminologies (ICD, CPT, LOINC, SNOMED, HCPCS). 
• Ensure compliance with clinical and regulatory standards.

2. Suspect Logic Development: 

• Design and implement suspect logic for identifying gaps in care, risk stratification, and quality measures.

3. Quality Assurance:

• Validate and refine curated value sets to ensure accuracy, completeness, and clinical relevance. 
• Monitor outputs to identify errors and ensure alignment with expected clinical outcomes.

4. Documentation & Reporting: 

• Maintain detailed documentation of processes, logic definitions, and value set updates. 
• Generate reports and presentations for internal stakeholders.

What You Need

Education:

• Bachelor’s or Master’s degree in Nursing, Medicine, Clinical Informatics, Health Information Management, or a related field.

 Experience:

• Good experience in medical coding, value set curation, or clinical informatics.
• Hands-on experience with suspect logic development in healthcare analytics is a plus.

Technical Skills:

• Good Clinical Knowledge.
• Proficiency in clinical terminologies (ICD-10-CM/PCS, CPT, LOINC, SNOMED CT, HCPCS). 
• Familiarity with tools for value set management (e.g., VSAC, FHIR terminology services). 
• Understanding of healthcare quality measures (e.g., HEDIS, CMS measures).

Soft Skills: 

• Excellent documentation abilities.
• Team player with a collaborative mindset. 
• High attention to detail and quality.

Preferred Qualifications: 

• Experience with EHR data integration or healthcare analytics platforms. 
• Knowledge of risk adjustment models and suspecting in healthcare (e.g., HCC, RAF scoring)

What We Offer

• Industry certifications: We want you to be a subject matter expert in what you do. So, whether it’s our product or our domain, we’ll help you dive in and get certified.
• Quarterly rewards and recognition programs: We foster learning and encourage people to take risks. We recognize and reward your hard work.
• Health benefits: We cover health insurance for you and your loved ones.
• Sabbatical policy: We encourage people to take time off and rejuvenate, learn new skills, and pursue their interests so they can be inspired to generate new ideas with Innovaccer.
• Pet-friendly office and open floor plan: No boring cubicles.

Disclaimer: Innovaccer does not charge any fees or require any payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.