medical records analyst

Central Maine Healthcare

<div>Overview:
<div>
Central Maine Healthcare is seeking a <b>Full Time, Record Analyst</b> to join our <b>Health Information Management</b> team!</div><div></div><ul><li><br>
This position is on-site in Lewiston, Maine.</li></ul><div></div><div><br>
Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.</div><div></div><div><br>
If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!</div><br>
<div></div>
Responsibilities:
<div>
The Record Analyst, HIM assures that all records are assembled accurately. Performs cross-checks to assure that all appropriate documents are received from the nursing units/service areas and follows up to obtain necessary information in a timely manner. Performs quality review checks on all discharges and outpatient medical records to assure that required physician, nursing and clinical service documentation meets regulatory and accreditation standards and guidelines.</div><br>
<div></div>
Qualifications:
<ul><li>High school diploma required.</li><li>
Associate degree in Health Information Technology (RHIT) preferred.</li></ul>
Employment Status: Full Time Shift: Days Equal Employment Opportunity:
<div>
CMH actively promotes diversity in its workforce at all levels of the organization. We strive to create and maintain a setting where we celebrate cultural and other differences and consider them strengths of the organization. CMH is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.</div></div><div></div>

Record Analyst - On Site, Lewiston ME

Orlando Health

<div>Position Summary:<div></div><div><b><br>
Department:</b> Health Information Management</div><div><b>
Status:</b> Full-Time</div><div><b>
Shift:</b> Monday - Friday, 8am-4:30pm</div><div><b>
Fully On site</b> <b>at Dr. Phillips Hospital</b></div><div></div><div><br>
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida&rsquo;s east to west coasts and beyond.</div><div></div><div><b><br>
ORLANDO HEALTH - BENEFITS &amp; PERKS:</b></div><div><b>
All Inclusive Benefits (start day one)</b></div><ul><li>
Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.</li></ul><div><b>
Forbes Recognizes Orlando Health as a Best-In-State Employer</b></div><ul><li>
Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. <i>&quot;We are proud to be named once again as a best place to work,&quot;</i> said Karen Frenier, VP (HR). &quot;This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.</li></ul><div><b>
Employee-centric</b></div><ul><li>
Orlando Health has been selected as one of the &ldquo;Best Places to Work in Healthcare&rdquo; by Modern Healthcare</li></ul><div></div><div><b><br>
Position Overview:</b></div><div>
The HIM Deficiency Analyst II responsibilities include performing duties related for the deficiency tracking to management the overall deficiency workflow process of health information in the electronic medical record. Also reviews the clinical documentation to identify missing deficiencies and clinical documentation. The Analyst II assists with the training and education of the Analyst I to ensure proficiency with the record completion is accurately completed.
</div>Responsibilities:
<div><b>
Essential Functions
</b><br>
<ul><li>Retrieves, processes and ensure all discharge records from all patient care areas when applicable.
</li><li>Initiates and performs technical procedure to analyze, or reanalyze, and monitor for medical record deficiencies according to Joint Commission and Medical Staff Rules and Regulations for regulatory requirements.
</li><li>Perform daily deficiency analysis in the comprehensive health record to ensure chart completion.
</li><li>Assist with the reanalyzes and loose sheets imaged separately from the discharged medical record.
</li><li>Gathers statistical data regarding individual physicians&rsquo; record documentation and completion procedures for reporting to the Medical Records Committee and any other hospital committee as needed.
</li><li>Assists medical staff members in all aspects of record completion.
</li><li>Understands and performs the corporate suspension procedures in the absence of the Analyst III.
</li><li>Assumes a leadership role for the training and education of the Analyst I in the Record Access and Birth Registry areas.
</li><li>Assist with training new members on HIM systems to ensure compliance and timely analysis of the clinical documentation.
</li><li>Maintain proficiency with the deficiency analysis queued to by demonstrating efficiency with managing the workflow.
</li><li>Assist the HIM Analyst III with quality audits as requested.
</li><li>Knowledge on the suspension process to assist the other HIM Analysts as needed.
</li><li>Communicates cooperatively and constructively with physicians, patients, guests, and members of the healthcare team.
</li><li>Ensures the workflow of all processes within their areas.
</li><li>Meets productivity, timeliness, and quality standards, and goals set by the department. Provides data for monitoring productivity and outcomes through maintenance of spreadsheets, database, and/or other documentation process.
</li><li>Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
</li><li>Maintains compliance with all Orlando Health policies and procedures.</li></ul></div><div><br>
</div><div><b>Other Related Functions
</b><br>
<ul><li>Works independently.
</li><li>Demonstrates exemplary customer services skills.
</li><li>Displays leadership skills to include critical thinking and issues resolution.
</li><li>Utilizes process/performance improvement skills.
</li><li>Assumes responsibility for professional growth and development.
</li><li>Train new team members.
</li><li>For telecommuting positions, able to work independently and troubleshoot hardware/software items.
</li></ul></div>Qualifications:
<div><b>
Education/Training
</b></div><ul><li>High school diploma or equivalent education.
</li><li>Computer literacy and keyboarding skills required.
</li><li>Must type a minimum of 30 words per minute.
</li><li>Successfully passes a Windows proficiency test, scoring 80% or higher prior to an interview.
</li><li>Medical terminology required.</li></ul><div><br>
</div><div><b>Licensure/Certification
</b><br>
None.</div><div><b><br>
Experience
</b><br>
<ul><li>Three (3) years of progressive experience in the Health Information Management field.
</li><li>Completion of an approved HIM or HIT program may substitute for up to one (1) year of the required experience.
</li><li>Experience with chart completion and deficiency analysis.</li></ul></div></div>

HIM Deficiency Analyst II

Hiffey

<p>Claims Med pioneers in Medical Billing for Healthcare providers in the United States. We are looking for fresh, energetic individuals who can not only add value to our firm, but also find endless opportunities in a growing firm.<br/>We are currently hiring for our Medical billing/AR/Credentialing teams and looking for candidates who are willing to learn and apply themselves in a short period of time.<br/>Job Description</p><ul><li>Medical records evaluation</li><li>Insurance eligibility verification</li><li>Claim generation and submission</li><li>Follow-up on pending claims</li><li>Account Receivables</li></ul><p>Requirements</p><ul><li>Night shift availability (7pm to 4am)</li><li>Mondays to Fridays</li><li>Graduation (required)</li><li><b>English Proficiency is must</b></li></ul><p>Location<br/>Shaheed-e-Millat Rd, Karachi<br/>Paid training will be provided. Finalists will begin a 3-month probation period and will be re-evaluated before becoming permanent employees.<br/>Permanent employees enjoy several performance, and punctuality based bonuses, along with other perks.<br/>Please submit your resumes and begin your journey of becoming an integral part of the Claims Med family.</p><p>Job Type: Full-time</p><p>Pay: Rs45,000.00 - Rs50,000.00 per month</p><p>Work Location: In person</p>

Medical Billing Analyst(Male)

Cohere Health

<div><p><b>Opportunity Overview:</b></p>
<p>
Full-time position, in-office, Hyderabad. This position will require the candidate to engage in critical thinking skills, be intellectually curious, and demonstrate great attention to detail. Requires excellent communications skills both written and oral. Must possess the ability to work with a diverse group of talent both in-person and globally.</p>
<p><b>
What you'll do:</b></p>
<ul>
<li>Data Validation and Verification: Perform meticulous, line-by-line comparisons of algorithm-generated output sheets (in CSV format) against the original patient</li>
<li>Accuracy Assessment: Verify the accurate extraction of key medical data, including Vital Signs and Laboratory Tests. This includes checking the accuracy of Test Names, Test Results/Values, Units of Measurement, and associated Date/Time stamps.</li>
<li>Error Identification and Documentation: Identify and meticulously document any discrepancies, errors, or failures in data extraction where the algorithm has incorrectly or incompletely captured data from the EMR.</li>
<li>Systematically document findings in the Algorithm Output Sheet using specific columns. Set the Status (Correct/Incorrect) based on the comparison. Provide detailed error categorization in the Sub Status column</li>
<li>Specify the correct data in the Expected Test Name, Expected Test Value, Expected Unit of Measurement, and Expected Date Timestamp columns for any identified error.</li>
<li>Completeness Reporting: Report any missing medical data that was present in the EMR but was not extracted by the algorithm into the output sheet.</li>
<li>Quality Assurance Contribution: Collaborate closely with the Data Science Team by providing high-quality, actionable feedback to drive continuous improvement in algorithm performance and data extraction logic.</li>
</ul>
<p><b>Required Qualifications</b></p>
<ul>
<li>Proven background or strong familiarity with Electronic Medical Records (EMRs) and clinical data, such as laboratory reports, vital signs, procedures, and treatments.</li>
<li>Demonstrate commitment to accuracy and exceptional attention to detail.</li>
<li>Excellent analytical and critical thinking skills to compare complex clinical documentation against structured data formats.</li>
</ul>
<p><b>Education Qualifications:</b></p>
<ul>
<li>BSC Nursing, B.Pharm, Food and Nutrition, Graduation- BSC, MSC (Life sciences), MLT.</li>
<li>Knowledge of Medical Terminology, Human Anatomy and Physiology.</li>
</ul>
<p><b>Ability to commute/relocate:</b></p>
<ul>
<li>Nacharam, Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred)</li>
</ul>
<p><b>Interview Process*:</b></p>
<div>
<ul><li>Connect with the Talent Acquisition Team for a Preliminary Phone Screening</li></ul>
<ul><li>Hiring Manager Interview</li></ul>
<ul><li>Take-home assessment</li></ul>
<ul><li>Peer and/or cross-functional interview(s)</li></ul>
</div>
<ul><li>Subject to change</li></ul>
<p><b>
About ZignaAI, a Cohere Health Company:</b></p>
<p>
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.</p>
<p>
With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate&trade;, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.</p>
<p>
Cohere Health's innovations continue to receive industry wide recognition. We've been named to the 2025 Inc. 5000 list and in the Gartner&reg; Hype Cycle&trade; for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn&trade; Startup for 2023 &amp; 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.</p>
<p>
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.</p>
<p><b>
We can't wait to learn more about you and meet you at ZignaAI, a Cohere Health company!</b></p>
<p><b>
Equal Opportunity Statement:</b></p>
<p>
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.</p></div><p></p>

Medical Data Analyst I

Sanadk Services

<p><b>Job Summary</b><br/>We are seeking a detail-oriented and knowledgeable Insurance Analyst to join our team. The ideal candidate will have a strong background in managed care, medical office operations, and insurance verification. This role involves analyzing insurance claims, ensuring compliance with HIPAA regulations, and maintaining accurate medical records. The Insurance Analyst will play a crucial role in facilitating effective communication between healthcare providers, patients, and insurance companies.</p><p><b>Responsibilities</b></p><ul><li>Review and analyze insurance claims for accuracy and completeness.</li><li>Verify patient insurance coverage and benefits prior to services rendered.</li><li>Maintain compliance with HIPAA regulations while handling sensitive patient information.</li><li>Utilize CPT coding, ICD-9, and ICD-10 coding systems to ensure proper billing practices.</li><li>Collaborate with medical staff to resolve any discrepancies in medical records or coding.</li><li>Assist in the management of medical terminology and documentation within the office.</li><li>Provide support for both dental and medical office operations as needed.</li><li>Prepare reports on claims processing and outcomes for management review.</li></ul><p><b>Qualifications</b></p><ul><li>Proven experience in managed care and medical office settings is preferred.</li><li>Strong understanding of HIPAA regulations and compliance standards.</li><li>Proficiency in CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with medical terminology and the ability to interpret medical records accurately.</li><li>Excellent organizational skills with attention to detail.</li><li>Strong communication skills for effective interaction with healthcare professionals and patients.</li><li>Previous experience in insurance verification is highly desirable.</li><li>Experience in a dental office environment is a plus but not required. Join our dedicated team of professionals committed to providing exceptional service in the healthcare industry. Your expertise as an Insurance Analyst will contribute significantly to our mission of delivering quality care while ensuring efficient insurance processes.</li><li>Able to communicate in Arabic and English ( Bi-lingual)</li></ul><p>Job Type: Full-time</p><p>Pay: QAR1,300.00 - QAR2,800.00 per month</p>

Insurance Analyst

Amazon.com

<div><h2 class="jobSectionHeader"><b>DESCRIPTION</b></h2><div>
The One Medical (OM) PXT team is looking for a dynamic, innovative, and self-started team member to join our Human Resources (HR) team.<br>
As a member of the HR Operations team, the Workday HRIS Specialist will be responsible for supporting the organization&rsquo;s Workday tenant with a focus on system configuration, application support, data integrity, and systems optimization. Our team values hard work and collaboration, and we strive to deliver high-quality solutions to our stakeholders while having fun along the way.
<br>
You are passionate about people systems while taking a human centered approach. Committed to process improvement and systems optimization, you are motivated by creating efficiencies in processes and leveraging technology to simplify work and establish scalable solutions. Technical and forward-thinking, you are systematic in your approach to solving technical problems and proactive in creating solutions built for scale. You think through potential impacts when making key design decisions and recommendations in a holistic way. While taking a resourceful, curious, and creative approach, you value established, best-in-class processes but you are also able to pivot and understand when configuration is the right approach. If this sounds like you, we would be excited to welcome you to our team!<br>
<br>
Key job responsibilities<br>
What you will likely work on:
<br>
<ul><li>Lead end-to-end functional support for one or more of the following modules: Absence, Compensation/Advanced Comp, Integrations, Time Tracking, Benefits, or Payroll; including requirement gathering, configuration/development, testing, and documentation</li><li>Partner with function owners and stakeholders on project work to gather requirements for process improvements, and, once prioritized, configure, test, and deploy those solutions</li><li>Create and update advanced reports and serve as the point of contact for ad hoc reporting requests</li><li>Monitor HRIS inbox and ticketing</li></ul>
o Support all Tier 1-Tier 2 System Team inquiries including HCM, Compensation, Benefits, Payroll, Time &amp; Attendance-while troubleshooting issues with appropriate SME<br>
<ul><li>Manage tier 1 reports and reporting requests (advanced reports, limited calc fields)</li><li>Develop and maintain documentation, business process mapping, and training materials for new and existing processes, participate in change management efforts including participation in training and educating the business on Workday and People Experience team processes</li><li>Ensure data integrity and organizational alignment for One Medical&rsquo;s data structures by performing regular data audits.</li><li>Support internal/external systems integrations independently or in collaboration with our third-party partner on an as-needed basis including integrations to and from the Amazon HCM</li><li>Assist in configuration research, changes, testing and migration for system enhancements or fixes</li><li>Participate in semi-annual Workday version releases by researching new features, making recommendations for adoption, and implementing and testing those that are added</li><li>Demonstrates broad, general knowledge of HRIS while developing new, relevant skills</li><li>Builds and loads Tier 1 EIBs, such as Edit Position, Request One Time Payment, Request Compensation Change, etc.</li><li>Ensures data accuracy and integrity through the use of audits and supporting documentation</li><li>Co-owns multiple, well-defined projects and owns parts of large, complex projects</li><li>Builds cross-functional relationships and partners effectively and facilitates communication inclusively across functions and outside of people team</li></ul></div><h2 class="jobSectionHeader"><b>
BASIC QUALIFICATIONS</b></h2><ul><li>Experience with Microsoft Word, Excel, and Payroll Systems or HRIS</li><li>Knowledge of process improvement, ideally including Lean, Kaizen and Six Sigma</li></ul>
- - Google Suite/Microsoft Office experience, with a focus on Excel/Sheets<br>
- - &bull; Experience with other HR systems, particularly Greenhouse (ATS and Onboarding), Reflektive (Performance Management), Culture Amp (Employee Engagement), Zendesk (Ticketing), or Continuu (LMS)<h2 class="jobSectionHeader"><b>
PREFERRED QUALIFICATIONS</b></h2><ul><li>Experience designing and developing scripts to automate operational burdens and reviewing scripting changes to ensure they meet the standards for maintainability, scalability and security</li></ul>
- - Previous experience building advanced report types, building/Loading EIBs (Edit Position, Request One Time Payment, Request Compensation Change) and building simple calc fields (True/False Conditions, Lookup Related Value, Arithmetic)<br>
<br>
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.<br>
<br>
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you&rsquo;re applying in isn&rsquo;t listed, please contact your Recruiting Partner.<br>
<br>
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $84,100/year in our lowest geographic market up to $179,900/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits. This position will remain posted until filled. Applicants should apply via our internal or external career site.</div>

Workday HRIS Analyst , One Medical PXT

MRO India

<p></p><div><p>We are looking for a <b>Senior Analyst &ndash; Clinical Data Abstraction</b> with hands-on experience in EHR/EMR systems and strong knowledge of medical terminology.</p>
<p><b>
Job Responsibilities:</b></p>
<ul>
<li>Accurately and efficiently abstract medical data from various sources for specified disease areas/ projects</li>
<li>Analyze and interpret complex medical information to provide meaningful insights from EHR/ EMR</li>
<li>Familiarity with Inpatient Medical records/ discharge summary data</li>
<li>Self-report activities like time spent on medical records and audits completed</li>
<li>Participate and contribute to team meetings and learning sessions</li>
<li>Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive information.</li>
<li>Collaborate with team members to achieve project goals and objectives.</li>
<li>Maintain a high level of medical knowledge and expertise of electronic medical record systems</li>
<li>Intermediate proficiency in MS Office Excel</li>
</ul>
<p><b>Quality Assurance:</b></p>
<ul>
<li>Consistently comply with minimum quality levels indicated in the QA plan</li>
<li>Receive feedback from Quality Analyst and ensure timely reconciliation of errors</li>
<li>Participate in quarterly inter-rater reliability assessments</li>
<li>Support quality assurance processes for data integrity</li>
</ul>
<p><b>Qualification:</b></p>
<ul>
<li>Any Life Sciences degree (BDS, MDS, MBBS, BAMS, BHMS, BPharm, Nursing)</li>
<li>Experience: 1-4 years in any Medical Area Abstraction. Oncology/ Cardiovascular domain experience preferred</li>
<li>Basic Anatomy and Physiology Knowledge mandatory</li></ul></div><p></p>

Senior Analyst - Clinical Data Abstraction

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