466 IT & Software Developer jobs in the US

Healthcare Analytics | Payment Integrity jobs

Data Analyst with SQL and Python

$41,600 - 47,840
Healthcare Analytics | Payment Integrity
Civic Center Plaza 1, Irvine
$41,600 - 47,840
Company Size icon
Company Size
<50
Company Type icon
Company Type
Services
Exp Level icon
Exp Level
Senior
Job Type icon
Job Type
Full-Time
Language icon
Language
English
Visa sponsorship icon
Visa sponsorship
No

Requirements

Must:
- Strong analytical skills, detail-oriented, and highly organized. - Exceptional attention to detail and precision. - Ability to foster relationships with diverse personalities and work styles. - Capability to work autonomously and proactively identify issues while proposing solutions. - Experience in training and mentoring junior team members. - Excellent verbal and written communication capabilities. - Proficient in managing multiple responsibilities in a fast-paced workplace. - Skilled in reading and extracting information from medical records. - Ability to engage in discussions regarding findings with management. - Must be a meticulous team player with solid data entry skills; knowledge of medical terminology is desirable. - Proficiency in Microsoft Office Suite or similar applications. - Ability to successfully pass a background check.

Technologies

LESS

Responsibilities

- Review and evaluate inpatient, outpatient, and provider billing for medical treatment appropriateness; - Analyze charges from various revenue centers considering patient demographics, procedures, age, and facility type along with other relevant negotiation details; - Apply national coding standards and regulatory guidelines to billed claims; - Produce clear and concise findings; - Conduct research and offer internal responses based on itemized bills, claims, operative notes, and necessary documentation; - Support internal claim reviews and recommendations; - Communicate clinical and reimbursement insights with team members and management; - Collaborate and coordinate effectively across various teams and departments; - Ensure adherence to HIPAA regulations and requirements; - Perform additional duties as assigned.

Description


At Catalyst Clinical and Coding Analytics, we consider our employees crucial to our success and value their contributions. Based in Irvine, CA, we specialize in providing comprehensive expertise in the rapidly evolving healthcare sector. We adopt a meticulous approach to claims management and deliver cost-containment solutions that enable our clients to effectively manage risk. As an Equal Opportunity Employer, we ensure fair consideration to all employees and job applicants, regardless of any protected characteristic. We offer a full-time position with a competitive salary ranging from $41,600 to $47,840 per year, along with a benefits package that includes 401(k) plans, health insurance, paid time off, and more.
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