onsite
Data Analyst - Healthcare Billing & Revenue Cycle - Healthcare Analytics Payment Integrity
Data Analyst
Data Analyst focused on healthcare billing and revenue cycle, analyzing inpatient/outpatient claims, ensuring medical appropriateness, and maintaining compliance with national coding standards using SQL, Excel, and proprietary analytics tools.
About the role
Key Responsibilities
- Review and analyze inpatient, outpatient, and provider billing to assess medical appropriateness of treatment and revenue center charges.
- Conduct bill and chart reviews to identify billing variations, ensuring accuracy and compliance with national coding regulations.
- Utilize proprietary software and data tools to monitor patient bills, detect discrepancies, and recommend corrective actions.
- Collaborate with cross‑functional teams to support negotiation processes and improve billing quality.
- Prepare detailed reports and dashboards to track key performance indicators and billing trends.
Requirements
- Strong background in medical coding and revenue cycle management.
- Proficiency in SQL and advanced Excel for data extraction and analysis.
- Experience with healthcare analytics platforms and billing software.
- Excellent analytical, problem‑solving, and communication skills.
- Knowledge of healthcare regulations and compliance standards.
Skills
data analysissqlexcel