* 7+ years of experience as a Business System Analyst in Healthcare and Insurance domain with excellent analytical, communication, decision-making and interpersonal skills, always willing to work in challenging and cross platform environment. Years of technical Business Data/Reporting Analyst with data management, Requirement gathering, profiting and analyst roles in a fast-paced environment. * Well versed with all phases of Software Development Life Cycle (SDLC) including but not limited to the various concepts such as Requirement Gathering. Proficient in Requirement Management, including gathering, analyzing, detailing and tracking requirements. * Extensive knowledge of SDLC methodologies like Agile (Scrum, RUP), ITIL, Waterfall Incremental and, Rapid Application Development (RAD). * Extensive experience in gathering Functional user requirements, creating Use Cases and creating functional Requirement Document (FRD) as per user requirements in addition to creating Business Requirements Document (BRD). * Experience in working with product backlogs, sprint backlogs along with creating user stories and prioritizing user stories and keeping track of burn down charts. * Organized and managing meetings between Business users and MMIS staff. * Functional knowledge of Medicaid Management Information System (MMIS). * Exposed to using ICD9-ICD 10 coding standards in Medicare and Medicaid domains of the healthcare systems and industry for inpatients, outpatients, and Reimbursement methodology. * Strong knowledge of UML Modeling, including Use Cases, Sequence, State and Activity diagrams, Data mapping, participated in architectural design and class design. * Gathering business requirements for ICD 10 Groupings/ classes pertaining to maintenance process, ICD 10 business rules remediation process, Medical Claims Processing System (MCPS). * Analyzed and understanding ICD 9-CM, ICD 9-PCS to and from ICD 10 -CM and ICD 10 -PCS GEM'S tool. * Analyzed 4010A1 and 5010 TR3 Implementation guides to identify and document the changes for HIPAA EDI Transactions such as 810, 850, 834, 837P, 837I, 837D, 835, 276/ 277 etc.
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