Provider Data Analyst

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. This is a remote role.

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