
Healthcare Analytics Professional
10 hours ago
We are seeking a skilled Clinical Data Specialist to support our clinical operations team remotely. This role involves analyzing and interpreting complex healthcare data sets, with a focus on risk adjustment and hierarchical condition categories (HCC). The ideal candidate will have a solid background in U.S. healthcare data, medical coding, and analytics.
Key Responsibilities:- Analyze patient records, claims data, and provider documentation to identify opportunities for accurate HCC coding and risk-adjusted scoring
- Collaborate with coding and clinical teams to ensure audit processes and data integrity
- Develop reports and dashboards that support care management, risk adjustment, and quality improvement initiatives
- Track performance metrics and highlight trends or anomalies in healthcare data sets
- Minimum of 2 years' experience in U.S. healthcare analytics, medical coding, or risk adjustment
- Strong knowledge of HCC coding, RAF scoring, and ICD-10 coding standards
- Experience working with healthcare data sets such as claims, EMR, encounter data
- Proficient in using tools like Excel, Google Sheets, and data visualization platforms (e.g., Tableau, Power BI)
- Familiarity with CMS guidelines and risk adjustment methodologies
- Excellent analytical, organizational, and communication skills
This is an excellent opportunity to leverage your analytical skills and make a meaningful impact in improving patient outcomes and operational efficiency. As a Clinical Data Specialist, you will work closely with cross-functional teams to drive data-driven decision making and support the development of innovative solutions.
Benefits:- Remote work environment with flexible scheduling
- Ongoing training and professional development opportunities
- A collaborative and supportive team environment
If you are passionate about healthcare analytics and have a strong desire to make a difference in the lives of others, we encourage you to apply for this exciting opportunity. We look forward to hearing from you
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