Healthcare Claims Analyst
3 days ago
The Coding and Reimbursement Analyst plays a critical role in ensuring claims payment accuracy and waste reduction initiatives by collecting, aggregating, and analyzing claims data from multiple systems.
This position requires strong analytical skills, attention to detail, and effective communication to document, report, and communicate information to stakeholders.
The ideal candidate will have a strong understanding of claims coding and payment methodologies, as well as data analytics, and be able to turn claims adjudication and provider billing data into meaningful information to inform business decisions.
Key Responsibilities- Collect and analyze claims data from multiple systems to identify trends and patterns.
- Develop and maintain reports and visualizations to communicate findings to stakeholders.
- Collaborate with leadership and subject matter experts to develop process and quality improvement strategies.
- Evaluate the completeness and accuracy of claims data.
- Present findings and recommendations to stakeholders.
- Bachelor's degree in Business Administration, Finance, Healthcare, or related field.
- 3+ years of experience in healthcare analysis, data management, or related field.
- Strong knowledge of CMS coding and reimbursement methodologies.
- Proficient in Microsoft Office suite, with emphasis on Excel and data analysis.
- Quality or Process Improvement experience.
- Experience with data visualization tools such as Tableau or Power BI.
- Working knowledge of SQL and SQL Reporting Services.
- Government claims experience.
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
TriWest Healthcare Alliance offers a comprehensive and progressive compensation and benefits package, including medical, dental, and vision coverage, generous paid time off, 401(k) retirement savings plan, and more.
We are an equal employment opportunity employer and strive to create an inclusive environment that cultivates and supports diversity at every organizational level.
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Healthcare Claims Analyst
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Phoenix, Arizona, United States Triwest Healthcare Full timeJob SummaryThe Coding and Reimbursement Analyst plays a critical role in ensuring the accuracy and efficiency of claims payment processes. This position requires a strong understanding of claims coding and payment methodologies, as well as data analytics skills to identify trends and patterns in claims data.Key ResponsibilitiesCollect and analyze claims data...
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Healthcare Claims Analyst
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Phoenix, Arizona, United States Triwest Healthcare Full timeJob SummaryThe Coding and Reimbursement Analyst plays a critical role in ensuring claims payment accuracy and waste reduction initiatives by collecting, aggregating, and analyzing claims data from multiple systems.Key ResponsibilitiesCollect and analyze claims data to identify trends and patterns.Develop and maintain reports to communicate findings to...
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Healthcare Claims Analyst
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Phoenix, Arizona, United States Triwest Healthcare Full timeJob SummaryThe Coding and Reimbursement Analyst plays a critical role in ensuring the accuracy and efficiency of claims payment processes. This position requires a strong analytical mindset, excellent communication skills, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesCollect and analyze claims data from multiple systems...
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