Medical Codebook Analyst (Plexis Quantum Choice)

Req ID: RQ216627

Type of Requisition: Regular

Clearance Level Must Be Able to Obtain: None

Public Trust/Other Required: MBI (T2)

Job Family: Functional Experts

Skills:

Data Analytics,Data Reporting,Healthcare Informatics,Microsoft Office,Plexis Software Plexis POS

Experience:

5 + years of related experience

Job Description:

GDIT is seeking a detail-oriented and technically proficient Codebook/Plexis Quantum Choice Analyst to support the World Trade Center (WTC) Health Program. In this critical role, you will manage the integrity of clinical and financial data within the Plexis Quantum Choice platform, ensuring that WTC responders and survivors receive accurate benefits and care coordination. You will be the bridge between clinical coding requirements and system functionality, maintaining the "Codebook" that drives claim accuracy and program compliance.

The World Trade Center Health Program is a limited federal health program administered by the National Institute for Occupational Safety and Health, part of the Centers for Disease Control and Prevention in the U.S. Department of Health and Human Services. The Program provides no-cost medical monitoring and treatment for certified WTC-related health conditions to those directly affected by the 9/11 attacks in New York, the Pentagon, and in Shanksville, Pennsylvania.

HOW YOU WILL MAKE AN IMPACT:

Maintain and update the Quantum Choice "Codebook," including the loading of contract terms, benefit structures, and reference tables specific to WTC Health Program guidelines.

Perform regular audits of clinical codes (ICD-10, CPT, HCPCS) to ensure they align with the WTC Health Program's covered conditions and regulatory mandates.

Lead User Acceptance Testing (UAT) for system enhancements and upgrades; identify, document, and track software bugs or configuration errors.

Partner with clinical teams and claims processors to troubleshoot complex adjudication issues and provide data-driven solutions for benefit plan updates.

Utilize SQL or advanced Excel to generate reports on system performance, data accuracy, and program utilization for leadership.

WHAT YOU'LL NEED TO SUCCEED:

Minimum Qualifications

Associate of Arts (AA) or Associate of Science (AS) degree. (Bachelor's degree in Health Informatics, IT, or a related field preferred).

5+ years of professional experience in healthcare data analysis, clinical coding, or claims system configuration.

Must have extensive experience with Plexis Quantum Choice (or similar platforms like QNXT). Strong proficiency in Microsoft Excel (v-lookups, pivot tables) and basic SQL query knowledge.

Must have a deep understanding of medical terminology, medical coding (ICD-10/CPT), and reimbursement methodologies (DRGs/HCC).

Knowledge of HIPAA compliance and federal health program standards.

Ability to obtain and maintain a Public Trust clearance

Preferred Qualifications:

Prior experience supporting the World Trade Center Health Program or other federal government health contracts.

Professional certification such as CPC (Certified Professional Coder) or CHDA (Certified Health Data Analyst).

Strong analytical mindset with the ability to translate complex clinical rules into technical system requirements

GDIT IS YOUR PLACE:

401K with company match

Comprehensive health and wellness packages

Internal mobility team dedicated to helping you own your career

Professional scientific growth opportunities, including journal subscriptions, conference attendance, and supporting publication journey

Cutting-edge technology you can learn from

Rest and recharge with paid vacation and holidays

OWN YOUR OPPORTUNITY:

Explore a career in health at GDIT and you'll find endless opportunities to grow alongside colleagues who share your sense of purpose for making a difference.

#GDITFedHealth

#GDITWTCJobs

The likely salary range for this position is $68,000 - $92,000. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans