RCM Data Analyst

Locate, validate, and analyze data utilizing tools such as Alteryx, SAS, SQL, Access, VBA and Tableau, from disparate sources to support RCM goals and RCM leadership requests. Combine specimen data from all systems in the RCM life cycle (lab and billing), claim transactions, and data elements provided in policies from payers and government entities to influence and initiate changes in claim outcomes, payer behavior, or system processing. Reduce risk of lost revenue to company through Systems Control support research, monitoring system functions, and business rule development of system changes.

RESPONSIBILITIES

• Develop research level analysis, containing elements of

• Claim level data from billing or lab system in current state or following claim life cycle from order to post adjudication activity
• Noting recognition of system opportunities
• Industry standard transactions to and from payer
• Payer policy information applied to claim detail and system data
• Problem solving through applied cleverness and curiosity

• Work effectively with data and consistently validate the data and the results

• Able to use tools such as SAS, SQL, Access, Excel, VBA, Tableau
• Use statistical sampling and modeling to drive guidance

• Present analysis findings as a story

• Slide and/or in person format
• Scorecard or dashboard format

• Follow, and suggest changes to, business rule development for system technology changes using knowledge of system flow, policy guides, and claim examples
• Participate in team and RCM Policy discussions as active participant or facilitator

• Support industry activities of RCM Policy under industry workgroups, acquisitions, and payer meetings with research or process testing
• Maintain documentation and results to customer of standard RCM Policy Team responsibilities

• Weekly inventory reports
• Systems control information
• Drops and suspends/SOX Control detail
• Out of balance reports
• RCM Systems Support testing review
• Testing reimbursement advisory response
• Reimbursement review claim analysis and processing files
• Subsidiary monthly reports
• Lab Advisory Council support

REQUIREMENTS

• Advanced knowledge and at least 2+ years' experience with Microsoft SQL Server (SSIS, SSRS, SSMS), SAS, Microsoft Office, Visual Basic for Applications and other analytic tools
• Strong analytical, critical thinking, problem solving skills
• Excellent written and verbal communication skills, with the ability to communicate effectively to technical and non-technical audiences
• Demonstrate accuracy and attention to detail with tight deadlines and turnaround targets

EDUCATION

• Bachelor's degree or 2 or more years programming experience in healthcare environment

This hybrid position offers a balanced schedule of a minimum of three in-office days at an assigned location to be either Burlington or Durham, NC, supporting both collaboration and flexibility.

Benefits: All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Regular, full-time or part-time employees working 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(K), ESPP, Paid time off (PTO) or Flexible time off (FTO), Commissions, and Company bonus where applicable. For more detailed information, please click here.

Labcorp is proud to be an Equal Opportunity Employer:

Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.

We encourage all to apply

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