Clinical Analyst

Overview

Employer Industry: Healthcare Analytics

• Salary up to $38.00 per hour
• Eligible for discretionary bonus consideration
• Comprehensive benefits package, including medical, dental, vision, and life insurance
• Opportunity for career advancement and growth within the organization
• Flexible remote work opportunity with hours that can accommodate various schedules
• Paid Time Off (PTO) ranging from 17 to 27 days per year, depending on service length

• Perform daily audits on client data for completeness and accuracy of coding to ensure appropriateness for reimbursement
• Respond to provider appeals while meeting client turnaround time and key performance indicators (KPI) goals
• Provide feedback to Management/Development Teams on enhancements for editing and efficiency
• Familiarize yourself with claims payment policies and processing, including CMS, Medicaid regulations, and coding guidelines
• Complete all assigned responsibilities and special projects as outlined in performance evaluations

• Active professional license as a Registered Nurse in your current state of residence (BSN preferred)
• Minimum of 2 years of professional experience in providing direct patient care
• Coding certification preferred (Outpatient - CPC, CCS, or CCS-P) or required to obtain within the first year of employment
• Required to obtain NY Independent Insurance Adjuster licensure within the first four months of employment
• Strong working knowledge of medical procedures, conditions, and treatment practices

• Experience with high-pressure production environments
• Excellent personal computer skills in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Ability to absorb new information quickly and adapt to a fast-paced environment
• Strong written and verbal communication skills
• Experience in auditing or coding roles

• #Healthcare Analytics
• #Remote Work
• #Career Opportunity
• #Competitive Pay
• #Benefits Package

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.