A Clinical Data Analyst is responsible for gathering, compiling, modeling, validating, and analyzing clinical trial results data needed by pharmaceutical companies, governmental agencies, and biotechnology firms evaluate the effectiveness of their trial drugs. May be responsible for designing, testing, and implementing clinical data reporting systems for the clinical staff to use.
Under minimal supervision assists Coding Management in coordinating coding and charging activities within the scope of the coding Department including: day-to-day communication with vendors, managing Epic work queues, investigating and completing coding updates and corrections, coordinating appeals, denials, and rebills, creating and maintaining complex Excel worksheets. Serves as the HIM Epic Super-user for coding, and works closely with Epic analysts to support coding and charging workflows, integrated 3M encoder, testing and upgrades.
ESSENTIAL RESPONSIBILITIES
Reviews dashboards and reports, to identify and report needs to coding leadership. (30%) Continually assesses and monitors work queues to identify fluctuating needs. Escalates items based on what was identified. (30%) Processes, records, and trends data. (10%) Monitors, triages, enters and tracks IT tickets. (15%) Coordinates with other departments to resolve missing documentation and ensure timely billing of visits. (5%) Performs other duties as assigned or required. (10%)
QUALIFICATIONS
Minimum 3 years advanced knowledge of billing and coding workflow, procedures, and departmental processes
Disclaimer:
The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement :
This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$23.73
Pay Range Maximum:
$37.14 Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
