Healthcare Data Analyst

Myers And Stauffer Lc - Atlanta, GA

Full-time - Mid Level

Atlanta, GA

501-1,000 employees

Professional, Scientific, and Technical Services

About the position

The Healthcare Data Analyst at Myers and Stauffer LC plays a crucial role in a multi-disciplinary team, focusing on data analytics and project coordination. This position requires proficiency in SQL for healthcare claims analysis, project management, report writing, and effective client communication. The analyst will assist in identifying potential fraud, waste, or abuse of Medicaid or other healthcare funds, conducting reimbursement analyses, and presenting findings to clients in a clear and concise manner.

Responsibilities

• Use SQL to review and analyze healthcare provider claims to determine if overpayments or underpayments have occurred in accordance with applicable policies.
• Assist in managing project tasks and timelines, serving as a supporting point of contact with clients and healthcare providers.
• Provide clear and accurate updates on project progress to team leads and clients.
• Draft comprehensive reports and provider notification letters summarizing findings and recommendations for corrective action based on data analysis.
• Develop a deep understanding of Medicaid and other payer regulations, billing manuals, and reimbursement policies.
• Conduct research to ensure compliance with billing and coding standards.
• Assist in conducting audits related to Medicaid and healthcare reimbursement, focusing on identifying potential fraud, waste, and abuse.
• Support in preparing well-researched and documented findings for internal review and client presentation.
• Participate in client meetings and handle questions from providers, communicating findings and recommendations in a professional manner.
• Work closely with team members, contributing to project tasks and supporting overall team efforts.
• Ensure the confidentiality and security of protected health information.

Requirements

• Bachelor's degree in Health Information Administration, Health Informatics, Healthcare Management, Data Science, or a related field.
• SQL proficiency is strongly preferred, with experience in working with large healthcare datasets.
• 1-2 years of experience in healthcare data analysis or related fields, preferred.
• Strong written and verbal communication skills, with experience in client interaction and report writing.
• Organized, detail-oriented, and self-motivated, with the ability to effectively manage tasks and meet deadlines while balancing multiple projects.
• Knowledge of healthcare data privacy regulations.
• Certifications such as CFE, AHFI, CHDA, CPMA, RHIT, or RHIA.
• Experience in data mining, statistical analysis, or fraud detection methodologies.
• Familiarity with Medicaid or government healthcare programs.

Nice-to-haves

• Postgraduate degree is a plus.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401(k) matching
• Paid parental leave
• Tuition reimbursement
• Paid holidays
• Referral program
• Paid volunteer community service time
• Mentor program
• Employee Assistance Program with counseling sessions