19 clinical data analyst jobs found

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we...

Compliance Auditor/Educator The Compliance Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations. This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution. Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance. Essential Job Functions: Develops and leads audit projects for medical record integrity, service line or issues-related...

Position Description & Qualifications Serco is excited to continue our support to the Defense Heath Agency (DHA) Medical Coding Program Branch (MCPB). The DHA is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force to Combatant Commands in both peacetime and wartime. The essential mission of the DHA Medical Coding Program Branch (DHA-MCPB) is to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission. Medical Coding Auditing consists of a systematic, unbiased, independent examination of medical documentation and coding to validate that all codes entered into the Military Health System (MHS) systems are in conformity with official coding policies, regulations, requirements, and standards. The auditing task involves developing or following a disciplined, systematic process that defines what is to be audited and why, how errors are defined and...

Medical Records Technician (Coder) Auditor Duties of the Medical Records Technician (Coder) Auditor include but are not limited to: Performs weekly or monthly audits of outpatient encounters. Reviews results of external audits and prepares education and/or audit responses. Performs monthly audits related to VHA Directives to include in-house and contract coding audits, EPRP reviews, revenue related/CPAC audits and other coding risk areas identified by Compliance, CPAC, VISN, external auditors medical center leadership and HIMs. Researches current guidelines related to inpatient and outpatient services and provides guidance to coding department and clinical staff accordingly. Participates in committees/work groups to provide input as a coding expert related to coding services and identify risk areas to improve clinical documentation and coding accuracy. Produces audit reports, graphs, presentations, to track and trend coding errors and accuracy rates using quantitative and...

Employment Opportunities Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Essential Functions: Knows, understands, incorporates, and demonstrates the Trinity Health...

DATE: July 20, 2026 POSITION: Risk Adjustment Compliance Coder DEPARTMENT: Finance-Risk Adjustment RATE: $28.86 per hour, with potential for additional compensation based on qualifications. POSITION SUMMARY: The Risk Adjustment Compliance Coder is responsible for enhancing the accuracy, quality, and integrity of coding data that supports Medicare and Medicaid reimbursement. This role conducts risk adjustment coding audits, performs compliance research, responds to coding inquiries, and serves as a subject matter expert in risk adjustment coding and compliance. The position supports Medicare and Medicaid risk adjustment programs through the development, implementation, and ongoing evaluation of program initiatives. Highly collaborative and operational in nature, this role partners closely with providers and internal stakeholders and requires strong communication, education, and relationship‑management skills. This is not a traditional production‑focused coding position. ESSENTIAL...

Overview Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We help clients maximize their reimbursement and educate them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Our billing specialists receive ongoing training specific to medical specialty, and we continually update knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we provide the venue for individuals who have the desire and drive to grow. Career paths are supported with career development, leadership opportunities, and a productive integration of personal and professional life. With over 200 professionals across our family of Yeo & Yeo companies, you join a diverse team working to positively impact our clients and communities. Position Summary...

Remote Inpatient Coder - HIMJOB SUMMARYThe Health Information Management (HIM) Coder impacts Memorial's Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment.Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations.The coding information is used to determine APC's (Ambulatory Payment Classification) for data...

The Troy Medical Campus will be University of Michigan Health's first clinical presence in the Oakland County market. We are building a state-of-the-art specialty care campus in the heart of Troy where a deeply human commitment to personalized care will come together with world‑class expertise, cutting‑edge therapies, and a legacy of more than 175 years of transformative research to help patients and families in Oakland County and beyond find their Michigan Answers. The campus will feature two outpatient facilities with over a dozen specialty programs, including Cancer services, Musculoskeletal/Sports Medicine, and Reproductive Medicine, as well as a surgery/procedure center, comprehensive imaging services, laboratory, pharmacy, and therapy services. The campus is conveniently located near I-75, surrounded by popular shopping and dining, and features free parking, on‑site cafe, with facilities committed to sustainable, environmentally responsible practices. Purpose of Position To...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Trinity Health: Coder IV Inpatient Coder (Remote) Employment Type: Full time Shift: Description: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. ESSENTIAL...

Summary The Health Information Section (HIMS) Coding Auditor is responsible for coding and provider audits. Overseeing the appropriate coding assignment of ICD-10 CM, CPT-4, and HCPCS codes and various other duties assigned. Incumbent will also complete any coding assigned. **REMOTE WORK: Position is remote work eligible and is currently on an extension for the return-to-office mandate**. Learn more about this agency Duties Help Duties of the Medical Records Technician (Coder) Auditor include but are not limited to: Performs weekly or monthly audits of outpatient encounters. Reviews results of external audits and prepares education and/or audit responses. Performs monthly audits related to VHA Directives to include in-house and contract coding audits, EPRP reviews, revenue related/CPAC audits and other coding risk areas identified by Compliance, CPAC, VISN, external auditors medical center leadership and HIMs. Researches current guidelines related to...

NURSING SUPERVISOR (Troy Medical Campus, Oncology/Radiation Oncology) The Troy Medical Campus is University of Michigan Health's clinical presence in Oakland County, offering a state-of-the-art specialty care campus with cancer services, musculoskeletal/sports medicine, and reproductive medicine, along with a surgery/procedure center, comprehensive imaging services, laboratory, pharmacy, and therapy services. The campus is located near I-75 with free parking and on-site amenities. This position provides professional nursing leadership and administrative direction for nursing practice in the Cancer Center clinics at the Troy Center for Specialty Care, and participates as an active member of the leadership team to assess nursing and medical assistant work, facilitate continuous improvement of health care services, and align with the mission and goals of University of Michigan Health. The role ensures quality nursing services for patients. Organizational Relationships Supervision...

The Troy Medical Campus will be University of Michigan Health's first clinical presence in the Oakland County market. We are building a state‑of‑the‑art specialty care campus in the heart of Troy where a deeply human commitment to personalized care will come together with world‑class expertise, cutting‑edge therapies, and a legacy of more than 175 years of transformative research to help patients and families in Oakland County and beyond find their Michigan Answers. The campus will feature two outpatient facilities with over a dozen specialty programs, including Cancer services, Musculoskeletal/Sports Medicine, and Reproductive Medicine, as well as a surgery/procedure center, comprehensive imaging services, laboratory, pharmacy, and therapy services. The campus is conveniently located near I‑75, surrounded by popular shopping and dining, and features free parking, on‑site cafe, with facilities committed to sustainable, environmentally responsible practices. Purpose of Position To...

The Troy Medical Campus will be University of Michigan Health's first clinical presence in the Oakland County market. We are building a state-of-the-art specialty care campus in the heart of Troy where a deeply human commitment to personalized care will come together with world-class expertise, cutting‑edge therapies, and a legacy of more than 175 years of transformative research to help patients and families in Oakland County and beyond find their Michigan Answers. The campus will feature two outpatient facilities with over a dozen specialty programs, including Cancer services, Musculoskeletal/Sports Medicine, and Reproductive Medicine, as well as a surgery/procedure center, comprehensive imaging services, laboratory, pharmacy, and therapy services. The campus is conveniently located near I-75, surrounded by popular shopping and dining, and features free parking, on‑site cafe, with facilities committed to sustainable, environmentally responsible practices. Purpose of Position To...

Job Posting Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. Candidate must have Denials experience to be considered. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases...

Overview Join to apply for the Facility Coding Inpatient Complex Coder role at Banner Health This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. The hours are flexible as we have remote Coders across the Nation. Generally any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. A Coding Assessment will be given after a successful interview to be completed within 48 hours. Banner Health provides your equipment when hired. You will be fully supported during initial training by the Banner Coding Education team and your hiring manager, with continued support throughout your career here. Responsibilities Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and...

Job DescriptionJob DescriptionMedical Coding Compliance SpecialistCompensation :Up to $85,000 annually, determined by your experience and qualifications.Job Location :Remote (US)Job Highlights :Work-Life Balance :Monday to Friday schedule for a fulfilling personal and professional life.Competitive Compensation :Be rewarded with a generous salary and benefits package.Career Growth Opportunities :Unlock your potential and advance in your career with our support.Supportive Work Environment :Join a team that values and appreciates your contributions.Comprehensive Training :Enhance your skills and knowledge through our extensive training programs.Compliance and Peace of Mind :Work with confidence knowing that we prioritize compliance with employment laws and regulations.Paid Time Off and Holidays :Enjoy well-deserved time off to relax and recharge.Life Insurance Coverage :Protect your loved ones with our employer-paid life insurance policy.Collaborative Team Environment :Thrive in a...