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Position: Data Mining/HCC Coder
Location: Palmetto, Fl
Date of Vacancy: 10/20/17
Closing Date: Until filled
Job Summary:
The Data Mining Analyst is responsible to focus on the protection and maximization of value from insurance contracts and other methods of bundled payments for providers/participants. Data mining for multiple insurance plans (MA and MMA plans) for MCRHS and participant offices within the ACO. This position includes tracking, trending and projecting data from insurance companies to include those from the ACO. The function would include identifying loss prevention, identifying exposures, assisting with functional contract reviews, spreadsheets, presentations, faxing, interacting with ACO Team and MCRHS. Position assists and interfaces with the overall data functions to support AllCare Options LLC and MCRHS departments To assist in appropriate trending of loss prevention, exposures, patient leakage and quality measures, tracking and trending these measures and providing information to the team to educate the provider/participant. This position should demonstrate analytical, organizational and communication skills, attention to detail, ability to work under pressure and knowledge of spreadsheets.
  • Graduation from an accredited two year college with a major in health science, business administration or related discipline. If HCC coder must be certified as an HCC coder.
  • Educational requirements may be substituted for 3 years’ experience in health care field.
  • Must possess office skills, public relation skills, written and verbal communications as well as good typing skills.
  • Maintains Confidentiality
  • Must have knowledge of Microsoft Word, Excel, and Power Point.
  • Proficient in the use of computer, calculator, copier, scanners and other office equipment.
  • Must possess attention to detail, sense of urgency to facilitate work flow and short turnaround time schedules.
  • Experience with multiple billing software’s and or computer systems.
  • Should have knowledge of EMR software.

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