Data Mining Ideation Specialist
Tasks
- Collaborate with audit analytics and operations teams to implement audit concepts
- Define data selection requirements
- Design data mining audits
- Develop training materials for audit staff
- Identify audit opportunities using contracts and regulations
- Maintain medical coding and reimbursement expertise
- Monitor audit performance and yield
- Refine audit logic based on performance
- Serve as data subject matter expert
- Support production audit teams with guidance and quality initiatives
- Validate audit outputs
Perks/Benefits
Skills/Tech-stack
APC | CPT | Claims Processing | Commercial Insurance | Coordination of Benefits | DRG | EAPG | EDI 835 | EDI 837 | Eligibility | Excel | HCPCS | ICD-10 | LCD | MUE | Medicaid | Medicare | NCCI edits | NCD | Payer Edit Development | Payment integrity | Ptp | Python | Reimbursement Methodologies | SQL
Education
N/A
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