24 clinical data analyst jobs found

Compliance Auditor & Billing Analyst Oncology McKesson is an impact?driven, Fortune 10 company that touches virtually every aspect of healthcare. We focus on the health, happiness, and well?being of you and those we serve we care. Title: Compliance Auditor & Billing Analyst Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD?10?CM, HCPCS, and E/M (REQUIRED) Position Description Under minimal supervision, the Health Care Coding & Billing Analyst performs data?driven coding and billing reviews, validates reimbursement accuracy, and assesses compliance with federal and state regulatory requirements. The analyst supports Network practices through audit activities, data interpretation, coding...

Compliance Auditor & Billing Data Analyst - Oncologyhub McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Title: Compliance Auditor & Billing Data Analyst - Oncologyhub Locations: Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: Remote Position Position Description: Under minimal supervision, the Health Care Coding & Billing Data Analyst is responsible for performing data-driven coding and...

Optim Health is seeking a full time Revenue Integrity Specialist / Coder.This is a Remote position.Multiple positions available.Position Summary :The Revenue Integrity Analyst works with the management team of Revenue Cycle operations to drive business value by supporting revenue cycle management in the analysis of Revenue Cycle data as well as proactive identification of process improvement, charge master compliance and accuracy as well as charge capture opportunities and applying analytical and critical thinking to generate innovative and practical solutions to revenue cycle issues.Through research and analysis, the Revenue Cycle Analyst will assist with establishing benchmarks, and will act as a liaison between functional areas to ensure stakeholders understand and interpret data related to the benchmarks.Additionally, this position will assist in leading discussions regarding the data for the administrative, legal, operational, and financial opportunities for Revenue Cycle...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Title: Compliance Auditor& Billing Analyst - Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD10CM,...

Compliance Auditor & Billing Analyst – Oncology McKesson is an impact‑driven, Fortune 10 company that touches virtually every aspect of healthcare. We focus on the health, happiness, and well‑being of you and those we serve – we care. Title: Compliance Auditor & Billing Analyst – Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD‑10‑CM, HCPCS, and E/M (REQUIRED) Position Description Under minimal supervision, the Health Care Coding & Billing Analyst performs data‑driven coding and billing reviews, validates reimbursement accuracy, and assesses compliance with federal and state regulatory requirements. The analyst supports Network practices through audit activities, data interpretation, coding validation, and...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

Become a part of our caring community and help us put health first The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. Review and analyze patient medical records to identify accurate ICD-10-CM diagnosis codes, ensuring all relevant conditions affecting patient's care are documented to the highest level of specificity. Validate that documentation supports risk adjustment coding and HCC capture in compliance with regulatory guidelines. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are regarding the daily...

Medical Coder Become a part of our caring community and help us put health first. The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. Review and analyze patient medical records to identify accurate ICD-10-CM diagnosis codes, ensuring all relevant conditions affecting patient's care are documented to the highest level of specificity. Validate that documentation supports risk adjustment coding and HCC capture in compliance with regulatory guidelines. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are regarding the...

divh2Medical Coder II, Physician-Based Coding/h2pIn addition to the responsibilities listed below, this position is also responsible for reviewing ambulatory medical records to identify edits to be remediated; and performing denial review/processing./ppstrongEssential Responsibilities/strong:/pulliPursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome./liliCompletes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects...

Medical Coder II, Physician-Based Coding Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing ambulatory medical records to identify edits to be remediated; and performing denial review/processing. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives...

Medical Coder and Abstractor ProSidian Consulting is looking for a talented professional ready to deliver real value to clients in a fast-paced, challenging environment. ProSidian Consulting is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian seeks a Medical Coder and Abstractor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The ProSidian Engagement Team Members work to provide health coding services to a branch of the United States Armed Forces'...

Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you. What makes us different? We offer our employees the following: • 1 Health Wellness day per quarter • Parental Leave • Free parking at our locations/bus line accessibility • Competitive Salary & Benefits • Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program) • 100% allotted for benefit elections for employees, 50% allotted for benefit elections for employees' spouse/dependents • Credit Union Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve high-quality health outcomes. Job Summary : The Medical Billing &...

Randstad is looking for a skilled and dedicated Medical Billing Specialist to join our team in a temp-to-hire capacity. This role is crucial for our client's interventional medicine practice and requires an individual who can manage a high volume of records and is highly proficient with eClinicalWorks (eCW). This is a great opportunity to get your foot in the door with a thriving medical practice. The temp-to-hire structure allows you to showcase your skills and become a permanent member of the team. Qualifications: Proven experience as a Medical Billing Specialist, preferably in a high-volume setting. Extensive knowledge of eClinicalWorks (eCW) is a non-negotiable requirement. Solid understanding of medical terminology, CPT, ICD-10, and HCPCS coding. Experience with billing for interventional medicine or PI specialties is a significant plus. Exceptional organizational skills and attention to detail. Excellent problem-solving and communication skills. Ability to...

Job Description Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses...

Overview Job Description - Pro Fee Coder – Hospitalist The Pro Fee Coder – Hospitalist will review clinical documentation to assign and sequence diagnostic and procedural codes for hospital-based inpatient and observation encounters to meet physician billing and reimbursement requirements. This role focuses on professional fee (pro-fee) coding for hospitalists, ensuring accurate Evaluation & Management (E/M) coding for initial, subsequent, and discharge visits, as well as compliant documentation to support medical necessity and coding integrity. The Coder performs documentation review and assessment for accurate abstracting of clinical data and may interact with providers and clinical staff for clarification and education. Duties and Responsibilities Select and assign ICD-10-CM and CPT/HCPCS codes for hospitalist services, including: Initial hospital care Subsequent daily visits Discharge management Observation and admission-to-discharge same-day encounters Critical...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis role is fully remote.What You Will Do :The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes along with CPT / HCPCS codes as defined for the service type for coding billing internal and external reporting research as required and regulatory compliance.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting CMS and any other official coding guidelines established for use with mandated standard code sets.Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles governmental regulations official coding guidelines and third-party requirements regarding documentation and billing.Assures that all services documented in the patients chart are coded with...

Field Medical AdvisorThe Field Medical Advisor role is pivotal in establishing and nurturing relationships within the medical community, including healthcare practitioners, policy makers, payers, and healthcare administrators to ensure understanding of our science and data and to gather beliefs, information, and thoughts from across the healthcare ecosystem.This role is dedicated to enhancing patient outcomes through the peer-to-peer scientific exchange of Moderna's mRNA platform science, fostering trust, and encouraging engagement through personalized and digital interactions.The Field Medical Advisor plays a key role in establishing our share of thought and insight concept with the medical and healthcare community.Territory :Southeastern US (Ideally located in Atlanta and near a major airport).In this role, you will be at the forefront of Moderna's mission to deliver new mRNA-based therapies and vaccines, requiring a blend of scientific expertise, strategic thinking, strong...

Job Description - Pro Fee Coder - Hospitalist The Pro Fee Coder - Hospitalist will review clinical documentation to assign and sequence diagnostic and procedural codes for hospital-based inpatient and observation encounters to meet the requirements of physician billing and reimbursement. This role focuses on professional fee (pro-fee) coding for hospitalists, ensuring accurate Evaluation & Management (E/M) coding for initial, subsequent, and discharge visits, as well as compliant documentation to support medical necessity and coding integrity. The Coder performs documentation review and assessment for accurate abstracting of clinical data and may interact with providers and clinical staff for clarification and education. DUTIES AND RESPONSIBILITIES: Select and assign ICD-10-CM and CPT/HCPCS codes for hospitalist services, including: Initial hospital care Subsequent daily visits Discharge management Observation and admission-to-discharge same-day...

Position Summary This position is responsible for final coding of inpatient accounts including acute care, mother/baby, inpatient rehab and skilled nursing. Inpatient coders follow coding conventions and guidelines to abstract, analyze and accurately assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes. Inpatient coders are required to utilize the computer assisted coding features of the encoder to accurately group DRGs and to validate diagnoses that group to an APR-DRG. Assigns present on admission indicator codes in compliance with national quality measures. Abstracts and validates other data elements as required. Education Associates of Health Information Administration - Required Experience 1-2 Years Inpatient Coding - Required License & Certification National Certification - Required American Health Information Management Association: CCA, RHIA, RHIT, CCS American Academy of Professional Coders (AAPC): CPC or CIC with...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing ambulatory medical records to identify edits to be remediated; and performing denial review/processing. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or...

Job Description You will analyze and interpret complex records in order to identify and accurately bill for services with the appropriate ICD-10 and CPT/HCPCS codes. This will include assigning/sequencing billing codes in compliance with third party payor requirements and obtaining clarification when presented with conflicting or non-specific documentation, when necessary. In addition, you may be involved in reviewing coding-related denials from payors and making recommendations to resolve claims based on payer guidelines. Qualifications: Qualifications To qualify you must possess: At least 2+ years of inpatient and outpatient professional medical coding experience required; with a background coding for multi-specialty practices. AND/OR At least 2+ years of relevant facility coding experience, specifically in Clinics (mandatory), Lab/Radiology (mandatory), ED, OBS, SDS, and/or Inpatient (strong preference for injection/infusion experience). CPC, CCS, or...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

Company Description About Sutherland Artificial Intelligence, Automation, Cloud engineering, and Advanced analytics are core to our expertise. We work with iconic brands worldwide, providing market-leading technology and business process excellence. We have created over 200 inventions under patents across AI and other technologies. Using our advanced products and platforms, we drive digital transformation, optimize operations, reinvent experiences, and pioneer solutions through a seamless “as a service” model. We tailor proven formulas to fit each company's unique DNA, combining human expertise and artificial intelligence to develop digital chemistry that unlocks new possibilities and transformative outcomes. Sutherland Unlocking digital performance. Delivering measurable results. Job Description You will analyze complex records to identify and accurately bill for services using ICD-10 and CPT/HCPCS codes. This includes assigning codes in compliance with payor requirements and...