
Data Analyst Opportunities
1 week ago
Job Summary:
We are seeking a detail-oriented and analytical data analyst to join our team remotely. This role focuses on supporting clinical and coding operations through accurate data analysis, specifically involving Hierarchical Condition Categories (HCC), Risk Adjustment Factor (RAF) scoring, and healthcare claims review.
Key Responsibilities:
- Analyze clinical data to identify opportunities for accurate HCC coding and RAF optimization
- Review patient records, claims data, and provider documentation to ensure risk-adjusted coding accuracy
- Collaborate with coding and clinical teams to support audit processes and data integrity
- Generate 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
Requirements:
- 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
- Familiarity with CMS guidelines and risk adjustment methodologies
Preferred Qualifications:
- Background in Nursing, Health Information Management, Public Health, or related fields
- Certification in medical coding is a plus
- Experience working with U.S. health plans, ACOs, or Medicare Advantage organizations
We offer the flexibility of remote work and make a measurable impact in improving patient care and data-driven clinical outcomes.
What We Offer:
- Opportunity to work with a dynamic team
- Professional growth and development
- Flexible work arrangements
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