Health Data Analyst Primary Responsibilities: Mastery of Associate level responsibilities Under general supervision, writes reports and presents data in formats such as abstracts, graphs or summaries. Develops technical specs and develops and executes a work plan for uncomplicated analyses. Prepares documents, correspondence and other communication materials to convey information to appropriate audiences Assists in the design of reports that integrate data from multiple sources, including design of reporting systems and standardization of metrics and formats across departments and functional areas Enhances database systems and applications for specific reporting requirements. Critically reviews and revises existing applications for update and enhancement. Identifies systems and operational problems and recommends solutions and changes to streamline procedures for more effective reporting Participates on report development teams Designs and implements report programming according to business requirements and technical specifications Provides advice for other team members regarding technical and analytical issues and best practices. Interacts with internal customers to define reporting needs and report specifications Assesses the validity, accuracy, completeness and reliability of data collected and reported Develops and conducts evaluations and studies within limited time frames and produces analyses that are easy for non-technical persons to understand. Ad hoc analysis as requested Analyzing claims data and error reports for correct coding reviews for appropriate Provider payment Assist in the quarterly and annual industry standard code sets for multiple systems maintenance. Conducts research on industry standard editing (NCCI, ME, MUE, ICD9, ICD10, CPT, HCPCS, etc.) for appropriate application Qualifications: Must have certification through AHIMA (CCS-P or CCS coding certification thru AHIMA Must have experience with NCCI, ME, MUE, ICD9 Exercises independent judgment in developing methods, techniques and evaluation criterion for obtaining results Experience designing strategies for alignment with business unit goals and objectives Knowledge of company products, functions, marketing and/or service policies and procedures Experience with the use of multiple claims and correct coding software systems Must have current Coding certification and have actively used coding certification for at least one year in a provider or payer setting Must have certification through AHIMA - Certified Coding Specialist or Certified Coding Specialist Physician based (CCS or CCS-P) Experience in Provider billing and financial transaction analysis to ensure compliance with industry standard billing and coding guidelines to include; in depth experience with the industry standard claims methodology including the use of HCFA 1500 and/or UB-04 claims data Associate Degree required / BA or BS degree preferred and 3-5 years of experience in the related area Proficient in Microsoft Word and Excel