Analytical Professional

1 day ago


Cavite City, Calabarzon, Philippines beBeeData Full time $21,600
Healthcare Data Analyst

We seek an analytical professional to drive clinical and coding operations through precise data analysis.

  • Analyze healthcare data for accurate HCC coding and RAF optimization opportunities
  • Review patient records, claims data, and provider documentation for risk-adjusted coding accuracy
  • Collaborate with coding and clinical teams on audit processes and data integrity
  • Generate reports and dashboards supporting care management, risk adjustment, and quality improvement initiatives
  • Track performance metrics and highlight trends or anomalies in healthcare datasets
  • Sustain compliance with CMS risk adjustment guidelines and payer-specific requirements
Requirements:
  • Minimum 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 datasets 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
Benefits:
  • Diverse and dynamic work environment
  • Opportunities for growth and development


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