What are the responsibilities and job description for the Data Analyst position at Healthcare Analytics | Payment Integrity?
Data Analyst
Job Summary:
The position is responsible for providing billing analysis of claims through our proprietary software, Haystack. This role will perform bill and chart reviews in identifying any variation from quality of billing as well as monitor patient bills for accuracy and compliance.
Duties and Responsibilities:
- Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analysis of charges of various revenue centers with consideration to patient diagnosis, procedures, age, and facility type; and any additional information relevant to the negotiation process.
- Apply recommendation of national coding and regulation standards to claims billed.
- Prepare clear, concise, and legible findings.
- Research, review and provide internal response based on receipt of itemized bills, claims, operative notes, and other documentation as needed.
- Assist with internal claim and review recommendations.
- Communicate with co-workers and management regarding clinical and reimbursement findings.
- Collaborate, coordinate, and communicate across disciplines and departments.
- Ensure compliance with HIPAA regulations and requirements.
- Performs other duties as assigned.
Required Skills and Abilities:
- Extremely analytical, thorough, and highly organized.
- Strong attention to detail and accuracy.
- Ability to build relationships with a wide range of personalities, work styles, and backgrounds.
- Ability to work independently and take initiative to raise issues and present potential solutions.
- Ability to train and mentor less experienced colleagues.
- Excellent verbal and written communication skills.
- Ability to handle multiple tasks in a fast-paced environment.
- Ability to read and abstract medical records.
- Ability to interact and discuss results with management.
- Must be a detail-oriented team player with strong data entry skills knowledge of medical terminology a plus.
- Proficient in Microsoft Office Suite or similar software
- Ability to pass a background check.
Education and Experience:
- Minimum high school diploma/GED, BS in Nursing or Health Information Management or relevant field.
- 1 year of related experience preferred but not required.
Physical Requirements:
- Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard and telephone
About Catalyst Clinical and Coding Analytics (Catalyst):
At Catalyst, our employees are instrumental to our success, and we reward them accordingly.
Located in Irvine, CA, we are a specialty niche company in the dynamic, fast-paced field of healthcare. We take a thorough, thoughtful approach to claims management and offer cost- containment solutions that help our clients manage risk.
As an Equal Opportunity Employer, Catalyst Health gives equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the
Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.
Job Type: Full-time
Pay: $41,600.00 - $47,840.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Health insurance
- Life insurance
- Paid holidays
- Paid time off
Compensation Package:
- Hourly pay
- Performance bonus
- Profit sharing
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In person
Salary : $41,600 - $47,840