
Remote Healthcare Data Analyst Position
3 days ago
We are seeking a detail-oriented and analytical professional to join our team as a Healthcare Data Analyst. This role focuses on supporting clinical and coding operations through accurate data analysis, specifically involving Hierarchical Condition Categories (HCC) and Risk Adjustment Factor (RAF) scoring.
This role requires a solid background in U.S. healthcare data, medical coding and risk adjustment models. The ideal candidate will deliver insights that support improved patient outcomes and operational performance.
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
- Maintain documentation and data validation procedures to ensure consistent analysis
- 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
- Ability to work independently in a remote environment with minimal supervision
- Background in Nursing, Health Information Management, Public Health, or related fields
- Certification in medical coding (e.g., CPC, CRC) is a plus
- Experience working with U.S. health plans, ACOs, or Medicare Advantage organizations
This is an exciting opportunity to make a measurable impact in improving patient care and data-driven clinical outcomes—while enjoying the flexibility of remote work.
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