Role: Data Analyst Health Care
Relevant Experience: At least 4+ years of relevant experience are required
Location: Bangalore/Mysore/Coimbatore
Notice period: We are Open – Preferred Who can Join as soon as possible
Opportunity: Full time
About Aezion:
Aezion is a technology solutions provider specializing in custom software, AI-driven solutions, and enterprise digital transformation.
Aezion is one of the trusted digital engineering providers in the USA and we live by the adage that our word is our bond. Our Promise is to get it right or make it right. We accomplish this by investing the effort to exceed client expectations from start to finish – architecting, designing, developing, hosting, maintaining, and supporting our clients throughout the project lifecycle. We believe that work is ministry – an expression of our values. Our goal is to honor our commitments to clients and the life energies of Aezion employees through results that transform clients into lifelong partners.
Working at Aezion:
Aezion is a mission-driven growing company fueled by our Purpose (Love others like Christ) and guided by our values (Love, Dependability, Humble, Diversity, Speed and Innovation). Our Purpose is why we exist. Our Values drive how we go about that existence and represent who we are. Service defines us at Aezion. Our 200+ dedicated, aligned employees pour their life energies to transform our customers into lifelong partners through service excellence.
Role & Responsibilities:
- Identify, analyse, and interpret patterns within complex medical datasets to support decision-making.
- Reconcile billed charges with medical record documentation and Investigate missing components of data to determine and carry out appropriate additional processes
- Collect, organize, and evaluate medical documentation to conduct analysis and develop reportable evaluation of medical coding compliance and value of charges.
- Experience with exception working demonstration in medical billing and coding and provider and payer and claims larger datasets (TB)
- Perform high level gap analysis on ICD-10, HCPCS/CPT coding, hospital billing form requirements (UB-04), and electronic remittance advice (ERA/835) responses and Episode cares for both conditions and procedures.
- Conduct thorough reviews of healthcare claims to ensure accuracy and integrity of episode grouper along compliance with payer regulations, and proper medical coding.
- Analyse claims data to identify trends, outliers, or discrepancies that may indicate billing errors or potential fraud.
- Participating in meetings or discussions to provide insights and recommendations based on claims/provider/grouper data analysis
Qualifications:
- Bachelor’s degree in healthcare administration, business, Statistics, or a related field (or equivalent combination of education and experience).
- Certification in claims/provider/care analysis (e.g., Certified Professional in Healthcare Quality , Epic module) is preferred.
- Excellent customer management and interaction skills.
- Experience in data analysis and reporting
- Proficiency in statistical and database software
- Strong organizational skills in managing multiple priorities.