Hcpcs jobs in overland park, ks

Remote

•

19d ago

Job Title: Physician ED Claims Reviewer Location : 100% Remote Role USA Duration : 6+ Months Contract or Fulltime Job Description: Berribot Test Required After Submitting the profile Note: Check with candidates if they are comfortable for Beribot interview Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity. Minimum of recent (last 2-3 y

Easy Apply

Contract, Third Party

Depends on Experience

Data Analyst

Overland Park, Kansas

•

Today

The Data Analyst for Value-Based Insights (VBI) is responsible for transforming Medicare (CMS) claims data into metrics, benchmarks, and measures that power WellSky's VBI product for Home Health and Hospice providers and payers. This role builds and maintains claims-based data extracts and performance measures, translates CMS methodologies and regulatory rules into production analytics, and partners with product and engineering to deliver trusted, data-driven insights. The work is retrospective,

Full-time

Senior Support Lead - IT Operations

Remote

•

Today

HCL Technologies Limited Job Summary We are seeking an experienced Epic Resolute Professional Billing (PB) Analyst with expertise in Claims Management, Charge Router, and Medical Coding to support and optimize professional billing workflows. The ideal candidate will have hands-on experience configuring and supporting Epic PB, managing claims processing, implementing charge routing solutions, and ensuring accurate coding integration. The role involves collaborating with revenue cycle, coding, a

Full-time, Contract, Third Party

To define

Medical Record Audit Specialist - Behavioral Health

Remote

•

4d ago

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issue

Easy Apply

Contract

Depends on Experience

Data science software developer

Remote or Murray, Utah

•

Today

Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant mat

Full-time

USD 124,000.00 - 170,500.00 per year

RCM Strategist

Remote

•

13d ago

Job Title: RCM Strategist Location: Remote U.S. Based Travel: Client Travel Required Job Type: Full-Time, Permanent Employment Type: Exempt Industry: Healthcare / Revenue Cycle Management Experience: 8+ Years Job Overview We are seeking an experienced RCM Strategist to join our client's Customer Success Consulting Practice. This is a client-facing consulting and advisory role focused on helping healthcare provider organizations optimize their Revenue Cycle Management (RCM) operations and improve

Easy Apply

Full-time

Depends on Experience

Data Scientist - Trust & Safety (Remote)

Remote

•

Today

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms. We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take

Full-time

USD 166,000.00 - 192,850.00 per year

Senior Data Analyst

Remote

•

Today

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creatin

Full-time

USD 140,000.00 - 170,000.00 per year

Data Analyst, Value-Based Care Analytics

Remote

•

Today

Counterpart Health is an AI-powered physician enablement platform that delivers clinical insights to providers at the point of care. Our flagship product, Counterpart Assistant, is embedded into clinicians' workflows and integrates with EHR systems, helping care teams drive value-based outcomes, close care gaps, and proactively manage chronic disease. As we expand across Medicare Advantage and other value-based care programs, we need analytical talent that can translate complex clinical and fina

Full-time

USD 96,000.00 - 125,000.00 per year

Senior Data Scientist - Machine Learning

Remote

•

Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Data Science and Data Engineering Job Qualifications: Skills: Amazon Web Services (AWS), Healthcare Claims, Predictive Modeling, Python (Programming Language), Supervised Learning Certifications: None Experience: 5 + years of related experience ship Required: No Job Description: As the Senior Data Scientist for Machine Learni

Full-time

USD 123,250.00 - 166,750.00 per year

Payment Integrity Analyst - Data Mining

Remote

•

Today

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Pa

Full-time

USD 24.20 - 36.30 per hour

Data Scientist Manager

Remote

•

Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Data Science and Data Engineering Job Qualifications: Skills: Big Data, Data Analytics, Health Data, Structured Query Language (SQL) Development Certifications: None Experience: 7 + years of related experience ship Required: No Job Description: Our work depends on a Data Scientist Manager joining our team to support the Cente

Full-time

USD 129,813.00 - 167,900.00 per year

Solutions Analyst

Remote

•

Today

Solution Analyst Department: Business Architecture Reports to: Director, Business Architecture Partners with: Research & Development, Product Management, Operations REQUIRED: HEALTHCARE INDUSTRY EXPERIENCE Position Summary The Solution Analyst operates within Business Architecture organization, acting as the link between business strategy and technical execution. Working closely with R&D, Product Management, and operational stakeholders, this role converts strategic priorities into clearly d

Easy Apply

Contract

$60 - $67

Forward Deployed Process Engineer Lead - R37

Remote

•

Today

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Forward Deployed Process Engineers will play a critical role in bri

Full-time

USD 175,000.00 - 306,101.78 per year

Healthcare EDI 837 Manual Tester with Facets Experience

Remote

•

Today

Requirement Healthcare EDI 837 Manual Tester with Facets Experience We are looking for an experienced Healthcare EDI Manual Tester / QA Analyst with strong hands-on experience in 837 Professional (837P) and Institutional (837I) claims and TriZetto Facets. Required Skills * 5+ years of experience in Healthcare IT / Claims / EDI testing.* Strong hands-on experience with manual testing of 837P and 837I healthcare claims.* Strong understanding of HIPAA X12 5010 claim transactions and EDI file struc

Easy Apply

Contract

Depends on Experience

MMIS Claims Tester

Remote

•

25d ago

MMIS Claims Tester Client Minds Print Location: Remote but 25% travel would be required during critical phases Responsibilities Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain. Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system Must have good experience with claims processing concepts, along with the provider, member enrolment and care management con

Easy Apply

Contract, Third Party

$40 - $45

Manual Tester with Facets Experience at remote

Remote

•

17d ago

Role: Manual tester Work location remote Need Mandatory Facets Experience Healthcare EDI 837 Manual Tester with Facets Experience We are looking for an experienced Healthcare EDI Manual Tester / QA Analyst with strong hands-on experience in 837 Professional (837P) and Institutional (837I) claims and TriZetto Facets. Required Skills * 5+ years of experience in Healthcare IT / Claims / EDI testing. * Strong hands-on experience with manual testing of 837P and 837I healthcare claims. * Strong u

Easy Apply

Contract

$40 - $50

BSA (Business Systems Analyst) - EDI/claims analysis, Facets - Remote

Remote

•

13d ago

Requirement Healthcare EDI Business Systems Analyst (BSA) 837 & Facets Position Overview We are looking for an experienced Healthcare EDI Business Systems Analyst (BSA) with strong knowledge of Healthcare Claims, HIPAA EDI transactions, 837 Professional (837P), 837 Institutional (837I), and TriZetto Facets. The ideal candidate should have a strong understanding of healthcare payer operations and be capable of analyzing business and system requirements, reviewing EDI transactions at the loop/segm

Easy Apply

Contract, Third Party

$40 - $50

Health Care Data Analyst

Remote

•

3d ago

Health Care Data Analyst Location: - Remote Must Need 8+ Healthcare Data Integration & Validation Analyze, onboard, and validate healthcare data from multiple payer, clinical, and third-party sources. Support data mapping, transformation, reconciliation, and integration activities across healthcare datasets. Perform source-to-target analysis and validate data consistency, completeness, and accuracy. Design and execute data quality checks to identify anomalies, gaps, and inconsistencies. Dis

Easy Apply

Contract

50 - 65

Senior Data Scientist - Clinical Informatics (Analytics Enablement)

Remote or New York, New York

•

Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary Position Summary CVS Health's Analytic

Full-time

USD 83,430.00 per year

Hcpcs jobs in Overland Park, KS, USA