Healthcare Information Analyst

3 days ago


Manila, National Capital Region, Philippines COTIVITI Philippines Full time
Clinical Data Analysis Job Description

We are looking for a skilled Clinical Analyst to join our team, who can analyze and interpret medical data to ensure accurate reimbursement.

The successful candidate will have experience in medical coding, medical billing, and RCM health plan operations, as well as knowledge of healthcare claims payment policy and processing.

Responsibilities:

  • Perform daily audits on client data for completeness and accuracy of coding.
  • Respond to provider appeals and client logics and record reviews.
  • Monitor acceptance rates for assigned clients and assist management in proactively detecting negative deviations.
  • Contribute to product development by providing feedback on changes to enhance editing and efficiency.


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