Data Analyst
Role details
Job location
Tech stack
Job description
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Develop and maintain MySQL/MSSQL stored procedures, batch-scripted reporting systems, and data pipelines supporting revenue cycle operations ($3M+ annually).
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Analyze healthcare claims data segmented by provider, service type, and time period to drive clinical and financial decisions.
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Apply expert-level CPT-4, ICD-10, and HCPCS coding knowledge - including modifier usage, surgical coding, fee schedules, and carrier-specific rules.
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Manage EDI transaction workflows: ANSI ASC X12N 837P, 835, 277CA, and 999 to maximize clean claim rates and reduce denials.
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Consult with practice leadership on CPT utilization strategy, revenue projections, and coding compliance.
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Support HIPAA-compliant data architecture and HL7 middleware integrations between practice management and billing systems.
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Deliver executive-ready dashboards and parameterized reporting tools enabling timely leadership decisions.
Requirements
We are looking for a Senior Data Analyst with 10+ years of experience at the intersection of SQL, medical coding (CPT-4, ICD-10), and healthcare revenue cycle operations. This is a senior individual contributor role requiring deep technical expertise, strong domain knowledge, and a proven record of translating healthcare data into measurable financial and clinical impact., * 10+ years in Data Analysis within healthcare or medical billing environments.
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Expert-level SQL - MySQL/MSSQL stored procedures, database design, performance tuning, and automation.
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10+ years of hands-on CPT-4 and ICD-10 coding - procedure/surgical coding, modifiers, and insurance carrier rules.
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EDI experience: ANSI ASC X12N 837P, 835, 277CA, 999 transaction sets.
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HIPAA compliance knowledge applied to data handling and system architecture.
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Demonstrated revenue impact through data-driven solutions ($1M+ preferred).
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Bachelor''s degree in Computer Science, Mathematics, Business, or equivalent experience.
Preferred Qualifications
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HL7 middleware integration experience for patient data exchange and lab requisition workflows.
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AWS cloud experience: instance deployment, VPC/firewall configuration, encrypted data transfers.
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Multi-client medical practice management or revenue cycle consulting background.
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Prior senior leadership (COO, Director) in a medical software or billing organization.