Healthcare Data Analyst

21 hours ago

Las Piñas, National Capital Region, Philippines beBeeHealthcare Full time $21,600
Job Title: Healthcare Analyst

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.

We seek an experienced Healthcare Data Analyst to join our team. The ideal candidate will possess strong analytical skills, experience working with large datasets, and knowledge of HCC coding and RAF scoring methodologies.

The selected candidate will be responsible for analyzing clinical data, identifying opportunities for accurate HCC coding and RAF optimization, and collaborating with coding and clinical teams to support audit processes and data integrity.

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 (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
Preferred Qualifications:
  • 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

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