- Elevance Health (Plano, TX)
- …therapies through our specialty pharmacies, our infusion centers, and the home setting._ **Title:** Claims Coding Data Analyst - Paragon Healthcare ... Hybrid; 8-hour shift between 6:00am - 9:00pm (flexible), Monday - Friday. The ** Claims Coding Data Analyst ** **- Paragon Healthcare** is responsible for… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... claims auditing and clinical coding and reimbursement edits and necessary coding ...and report outcome results on edits implemented. + Utilize data to examine large claims data… more
- Geisinger (Danville, PA)
- …documents, itemized statements, medical records, discharge summaries and detailed data reports. Makes reimbursement or recovery recommendations based on appropriate ... coding , billed statistics, policies, industry standards and compliance with...billing, and reimbursement. + Completes clinical reviews related to Claims , Claim Edits, Appeals and the Grievance process, assisting… more
- Healthfirst (FL)
- …for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the claims ... data to assess and resolve operational obstacles to claims configuration design optimization. + Perform root-cause analysis on...understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- … coding reviews, and denials + Ensure accuracy and integrity of charge data prior to billing interface and claims submission + Utilize a computerized ... the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the… more
- Harvard University (Cambridge, MA)
- Details Title Research Associate/ Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description ... We are seeking a research Data Analyst in the Department of Oral...Code of Conduct + Analyze electronic health records, administrative claims , and national survey data Basic Qualifications… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor/ Analyst is an integral part of the Quality Assurance and Operational Integrity… more
- IGT (Wallingford, CT)
- Data Operations Analyst Location: Wallingford, CT, US, 06492 Requisition ID: 16218 IGT (NYSE:IGT) is a global leader in gaming. We deliver entertaining and ... (https://c212.net/c/link/?t=0&l=en&o=3466342-1&h=1955860405&u=https%3A%2F%2Fwww.igt.com%2F&a=www.igt.com) . **Overview** We are looking for an experienced Data Operations Analyst who will verify and… more
- Fairview Health Services (St. Paul, MN)
- …is offering a great opportunity for a Revenue Intergrity Charge Description Master Analyst . Here are some key points about the position: + **Location:** University ... Job Description** **Job Summary:** The Revenue Integrity Charge Description Master Analyst serves as a liaison between organizational leadership, end-users, project… more
- Phoebe Ministries (Allentown, PA)
- …any claim adjustments that may be required based on Medicaid protocols to adjudicate claims . The Medicaid analyst will review, prepare, and submit responses to ... Medicaid Analyst Full-time - Allentown, PA Phoebe Ministries is...experience in related positions required. + Experience in medical claims billing/ coding ; experience with insurance follow-up processes/procedures;… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Billing Coordinator- Analyst MSH Adolescent Health Center FT Days** The Senior Billing Coordinator and Analyst is an experienced ... Accounts Receivable, Charge Entry, Edits and Payment Posting. The Senior Billing Coordinator- Analyst is proficient in these processes to ensure accurate and timely… more
- Banner Health (AZ)
- …reimbursement As a Revenue Integrity Analyst you will work with a variety of claims , correcting coding or charging errors that may prevent a bill from going ... Systems frequently used: FinThrive, Cerner, MS4 **Desired Experience: Acute Charge Capture Analyst experience, a minimum of 2-3 years. Coding certifications are… more
- Flynn Restaurant Group (Independence, OH)
- …Manage the weekly deductible billing from the carrier for WC and Liability claims ; to include data manipulation and distribution to team for confirmation ... of various data projects to include loss data , renewal data and claims ...of insurance program beginning in October. **Quarterly Reports:** Updating data for auditors quarterly. **Invoice Coding :** Manage… more
- HCA Healthcare (Nashville, TN)
- …and process documentation for both the department and for assigned projects. + Perform data analyst functions that generate knowledge via data mining, ... number growing to nearly 8,000 by 2028.** **The Research Analyst will assist in translating clinical needs into analytic...records, Medicare claims , or other health care claims data sets preferred. + SAS, RDBMS,… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data + Employs existing complex models and implements them ... the full spectrum of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT,… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst III (Policy Aggregate to play your part in that transformation. It's an ... position will work with various claim teams to review coding of claims to ensure they meet...License and insurance knowledge. + Ability to analyze complex data to assess compliance with policy limits. + Strong… more
- Keystone Lab (Asheville, NC)
- …+ Check eligibility and perform benefit verification, enter charges & transmit clean claims per coding , carrier, and contract guidelines. + Assist in daily ... and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country,… more
- Atrius Health (Chelmsford, MA)
- …including Medicare program, writing complex clinical medical necessity appeals, analysis of claims data and billing related issues to effectively reduce errors ... provides analytical, denial, and AR management support. Gathers, compiles and organizes claims and denial data . Researches clinical and payer informational… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and...practices. + Compile, monitor and report on project financial data , including but not limited to, planned spend, actual… more
- LA Care Health Plan (Los Angeles, CA)
- … claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project leadership ... Payment Integrity Analyst III (ALD) Job Category: Claims ...for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment cost avoidance. Supports… more