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Apc Analyst Jobs in Florida (NOW HIRING)

California State University

$7.1K/mo

Credential Analyst II Apply now Job no: 560343 Work type: Staff Location: East Bay Categories ... Unit 4 - APC - Academic Professionals of California, Probationary, Full Time, Student Services ...

California State University

$7.1K/mo

Credential Analyst II Apply now Job no: 560343 Work type: Staff Location: East Bay Categories ... Unit 4 - APC - Academic Professionals of California, Probationary, Full Time, Student Services ...

AEG

Marketing Manager

Orlando, FL · On-site

... analysis. • Manage tournament advertising creative concept design. • Manage media buying ... Arnold Palmer Cup Marketing and Social Media • Implement all APC marketing, public relations, and ...

Omega Healthcare Management Services

Coder HCC

Boca Raton, FL · On-site

$17.75 - $23.75/hr

... APC and charge codes. The Coder HCC uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of ...

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Apc Analyst information

What does an APC Analyst do?

An APC Analyst, or Advanced Process Control Analyst, is responsible for optimizing and monitoring industrial processes through the implementation and management of advanced control systems. They analyze process data, develop control strategies, and work closely with engineering and operations teams to improve efficiency, reduce costs, and maintain product quality. APC Analysts often use specialized software tools and statistical methods to identify areas for improvement and troubleshoot process issues. Their work is crucial in industries such as oil and gas, chemicals, and manufacturing to ensure processes run safely and efficiently.

What are some common challenges faced by an APC Analyst and how can they be addressed?

APC Analysts often encounter challenges such as handling large and complex datasets, ensuring data accuracy, and adapting to evolving regulatory requirements. Staying organized and developing strong analytical skills are essential for efficiently managing data and generating reliable reports. Collaborating closely with other departments, such as finance and compliance, can help ensure alignment and reduce errors. Continuous learning and keeping up with industry best practices also contribute to overcoming these challenges and supporting successful performance in the role.

What are the key skills and qualifications needed to thrive as an APC Analyst, and why are they important?

To thrive as an APC Analyst, you need a solid understanding of cost analysis, financial reporting, and data interpretation, typically supported by a degree in finance, accounting, or a related field. Expertise in ERP systems, advanced Excel skills, and familiarity with business intelligence tools like SAP or Oracle are commonly required. Strong analytical thinking, attention to detail, and effective communication are vital soft skills for this role. These competencies are crucial for ensuring accurate cost management, supporting strategic business decisions, and facilitating clear reporting to stakeholders.

Nurse Clinical Coding Analyst - RN, Consultant

Miami, FL • On-site

Blue Shield of CA
See more jobs at Blue Shield of CAexternal

Other

Posted 3 days ago

New

Job description

Your Role

The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Clinical Coding Analyst RN, Consultant will report to the Senior Manager, Facility Compliance Review. In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Reviews will also be performed for medical necessity and to meet the criteria for the coding billed. You will also be responsible for reviewing outpatient coding for appropriateness of billing related to injection and infusions. This person will review medical records and perform coding analysis on all diagnoses, procedures, DRG/APC and charge codes. Ensure that the billed coding is appropriate based on reimbursement requirements, research, epidemiology, financial and strategic planning and evaluation of quality of care. In this role you will be working in a Lead capacity assisting with reviewing claims, training new hires, facilitating refresher trainings for the team as needed, and being a resource for the team to ask questions. The ideal candidate will have previous leadership experience and hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

We are a CA based company and training hours for the first few months will be 8am-5pm PST. After that, this person can work 6am-3pm, 7am-4pm or 8am-5pm PST.

Your Knowledge and Experience

  • Associate's degree in nursing is required

  • Current unrestricted California RN License and/or in assigned states. If assigned an additional state, they must obtain the CA RN license (in addition to primary assigned state license) within 90 days of hire

  • 7 years of prior relevant experience required

  • 3 years' inpatient coding experience required

  • One of the following is required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC-CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Documentation Integrity Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP)

  • Utilization management (UM) experience is required

  • Ability to analyze claim data analytics is required

  • Health plan experience (managed care) preferred

  • Strong attention to detail

  • Arbitration experience preferred

  • Requires independent motivation, solid work ethic, and strong computer navigation skills

  • Familiarity with electronic health record (EHR) systems, Oracle (Cerner) and Emergency Department EM leveling experience preferred

  • Strong attention to detail

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.

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