Provider Data Analyst

Duties:

Delivers professional activities in the Provider Data job family. Responsible for accurate, timely quality assurance for accurate reimbursement based on provider contract and area fee schedules. Provides quality assurance error reporting to data entry specialists and supervisor. Interprets update requests and coordinates with internal and external customer to clarify and complete. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in Provider Data.



Qualifications and requirements include: High School diploma; at least 5 or more years of working knowledge with strong knowledge in flat fee, RBRVS, "percentage of" fee schedule reimbursement types, medical terminology, ICD-10 and CPT and HCFA coding.



This position includes fiduciary duty or access to financial systems.



Education:

Qualifications and requirements include: High School diploma; at least 5 or more years of working knowledge with strong knowledge in flat fee, RBRVS, "percentage of" fee schedule reimbursement types, medical terminology, ICD-10 and CPT and HCFA coding.



Skills:

Strong organizational skills

Provider Data Experience

Previous Quality Assurance experience

Microsoft Office Products

Smartsheet

Plexis Claims Management Platform experience a plus



City: Franklin



Schedule:

Start Date: 11/04/2024

End Date: 04/30/2025

Schedule Notes: Mon-Fri 8 am 4:30 pm EST with 30-minute meal break

Hours Per Week: 40.00

Hours Per Day: 8.00

Days Per Week: 5.00