Provider Data Analyst

Mindlance; Franklin (TN); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented professional to join their remote team in the Provider Data job family. This role involves ensuring quality assurance for accurate reimbursement, interpreting update requests, and providing valuable insights through initial reports and analyses. With a focus on collaboration, you'll work closely with both internal and external customers to clarify tasks and improve processes. If you have a strong background in medical coding, quality assurance, and organizational skills, this opportunity could be your next career move.

Qualifications

• 5+ years of experience in healthcare reimbursement and coding.
• Strong knowledge of flat fee, RBRVS, and percentage of fee schedules.

Responsibilities

• Ensure quality assurance for accurate reimbursement based on provider contracts.
• Provide guidance and coaching to junior team members.

Skills

Medical Terminology

ICD-10 Coding

CPT Coding

Quality Assurance

Strong Organizational Skills

Provider Data Experience

Education

High School Diploma

Tools

Microsoft Office

Smartsheet

Plexis Claims Management Platform

Job description

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 customers to clarify and complete tasks. 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:

1. High School diploma
2. 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, CPT, and HCFA coding.

This position includes fiduciary duty or access to financial systems. This is a remote role.

Additional skills and experience:

• Strong organizational skills
• Provider Data Experience
• Previous Quality Assurance experience
• Proficiency in Microsoft Office Products
• Experience with Smartsheet
• Plexis Claims Management Platform experience a plus

EEO Statement:

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.