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Healthcare Claims Analyst

Company: VirtualVocations
Location: Atlanta
Posted on: February 8, 2025

Job Description:

A company is looking for a Clinical Healthcare Claims Analyst to analyze healthcare data and support decision-making processes.



Key Responsibilities

Identify and investigate healthcare fraud, waste, and abuse through claims data analysis
Collaborate with stakeholders to understand data needs and present findings effectively
Ensure data quality and integrity through validation and documentation of methodologies


Required Qualifications

3-5 years of experience in healthcare billing, claims adjudication, or fraud investigation
Strong knowledge of clinical terminology and healthcare workflows
Experience with manipulating and analyzing large datasets
3-5 years of experience with CPT and HCPCS code terminology
Ability to document findings accurately and independently

Keywords: VirtualVocations, Atlanta , Healthcare Claims Analyst, Professions , Atlanta, Georgia

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