
Healthcare Data Analyst
3 days ago
We are seeking a Medical Coding Specialist to join our team.
- Clinical Documentation Reviewer: Ensure accuracy and completeness of patient medical records by reviewing clinical documentation and assigning appropriate diagnosis and procedure codes using ICD-10-CM, CPT (and HCPCS if applicable) guidelines.
- Risk Adjustment/HCC Coding Specialist: Identify and code chronic conditions accurately for Risk Adjustment/HCC coding purposes.
- Chart Auditor: Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
- Coding Compliance Officer: Ensure that coded data adhere to payer/regulatory guidelines and internal compliance standards.
- Query Responder: Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
- Productivity/Accuracy Target Achiever: Maintain productivity and accuracy targets as set by the team/project.
- Coding Change Expert: Stay updated with coding changes, industry regulations, payer policies (e.g. CMS, Medicare Advantage etc.), and coding certification requirements.
- Ongoing Training Participant: Participate in ongoing training and process improvement initiatives.
- (If applicable) Denial Management/Claims Adjudication Support Specialist: Assist in denial management, claims adjudication, revenue leakage identification, and support.
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Senior Business Analyst with HealthCare
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India Technocrats Domain Inc Full timeBusiness Analyst – Healthcare Domain Gather, analyze, and document business requirements related to HIPAA, CMS, NCQA, and state-specific regulations . Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines. Act as liaison with compliance and legal teams during audits or regulatory...
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India beBeeAnalytics Full time ₹ 9,00,000 - ₹ 12,00,000Unlock Healthcare InsightsAre you passionate about uncovering meaning from large-scale health data sets and delivering powerful, data-driven strategies?This is a hands-on role where you'll leverage advanced data analytics, predictive modelling, and real-world data (RWD) to deliver high-impact outcomes for pharmaceutical companies, healthcare providers, and...