As a DATA MINING IDEATION SPECIALIST, you will leverage your expertise in medical coding ... Multiple Surgery Reductions * 3-Day Payment Window * Eligibility and COB * Expertise in data ...
As a DATA MINING IDEATION SPECIALIST, you will leverage your expertise in medical coding ... Multiple Surgery Reductions * 3-Day Payment Window * Eligibility and COB * Expertise in data ...
Service drive sales / Data mining sales associate
$50K - $144K/yr
Prospect, communicate with, and follow up on 100-200 customer leads per day via email, text, and ... Utilize data mining tools such as Automotive Mastermind, DealerSocket , and CRM platforms to ...
Service drive sales / Data mining sales associate
$50K - $144K/yr
Prospect, communicate with, and follow up on 100-200 customer leads per day via email, text, and ... Utilize data mining tools such as Automotive Mastermind, DealerSocket , and CRM platforms to ...
Service drive sales / Data mining sales associate
Hemet, CA ยท On-site
$50K - $144K/yr
Prospect, communicate with, and follow up on 100-200 customer leads per day via email, text, and ... Utilize data mining tools such as Automotive Mastermind, DealerSocket , and CRM platforms to ...
Quick apply
Service drive sales / Data mining sales associate
Hemet, CA ยท On-site
$50K - $144K/yr
Prospect, communicate with, and follow up on 100-200 customer leads per day via email, text, and ... Utilize data mining tools such as Automotive Mastermind, DealerSocket , and CRM platforms to ...
Service drive sales / Data mining sales associate
Hemet, CA ยท On-site
$15.75 - $21/hr
Prospect, communicate with, and follow up on 100-200 customer leads per day via email, text, and ... Utilize data mining tools such as Automotive Mastermind, DealerSocket , and CRM platforms to ...
Service drive sales / Data mining sales associate
Hemet, CA ยท On-site
$15.75 - $21/hr
Prospect, communicate with, and follow up on 100-200 customer leads per day via email, text, and ... Utilize data mining tools such as Automotive Mastermind, DealerSocket , and CRM platforms to ...
Data Scientist
Mountain View, CA ยท On-site
Mountain View CA (Day 1 Onsite) Responsibilities * Perform hands-on data analysis and modeling with large data sets * Lead experimental designs and measurement plans * Apply data mining, NLP, and ...
Quick apply
Data Scientist
Mountain View, CA ยท On-site
Mountain View CA (Day 1 Onsite) Responsibilities * Perform hands-on data analysis and modeling with large data sets * Lead experimental designs and measurement plans * Apply data mining, NLP, and ...
Data Engineer/Data Analyst
Los Angeles, CA ยท On-site
The role requires the candidate to work onsite four days a week (mandatory). This role is ideal for ... Perform advanced data mining and analysis to uncover insights and support decision-making. * Lead ...
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Data Engineer/Data Analyst
Los Angeles, CA ยท On-site
The role requires the candidate to work onsite four days a week (mandatory). This role is ideal for ... Perform advanced data mining and analysis to uncover insights and support decision-making. * Lead ...
Data Scientist
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
Herndon, VA ยท On-site
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
Herndon, VA ยท On-site
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
Herndon, VA ยท On-site
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
Herndon, VA ยท On-site
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Scientist
$112K - $179K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Data Analyst
Chicago, IL ยท On-site
$18/hr
... data mining and electronic documentation study ยท Make recommendations about the methods the ... They make the difference every day, shift, and call and transform challenges into victories. They ...
Quick apply
Data Analyst
Chicago, IL ยท On-site
$18/hr
... data mining and electronic documentation study ยท Make recommendations about the methods the ... They make the difference every day, shift, and call and transform challenges into victories. They ...
Analyst, Data - 1st Shift
OH ยท Remote
What you'll do on a typical day: * Gather data and research the results using statistical ... Understanding of machine learning, data mining and experience in algorithmic program development ...
Analyst, Data - 1st Shift
OH ยท Remote
What you'll do on a typical day: * Gather data and research the results using statistical ... Understanding of machine learning, data mining and experience in algorithmic program development ...
Data Scientist II
Pittsford, NY ยท Hybrid
$99K - $124K/yr
Some exposure with application of data mining algorithms and statistical modeling techniques such ... The application period for the job is estimated to be 40 days from the job posting date; however ...
Data Scientist II
Pittsford, NY ยท Hybrid
$99K - $124K/yr
Some exposure with application of data mining algorithms and statistical modeling techniques such ... The application period for the job is estimated to be 40 days from the job posting date; however ...
Data Scientist II
Pittsford, NY ยท On-site
$99K - $124K/yr
Some exposure with application of data mining algorithms and statistical modeling techniques such ... The application period for the job is estimated to be 40 days from the job posting date; however ...
Data Scientist II
Pittsford, NY ยท On-site
$99K - $124K/yr
Some exposure with application of data mining algorithms and statistical modeling techniques such ... The application period for the job is estimated to be 40 days from the job posting date; however ...
Data Scientist II
Pittsford, NY ยท Hybrid
$99K - $124K/yr
Some exposure with application of data mining algorithms and statistical modeling techniques such ... The application period for the job is estimated to be 40 days from the job posting date; however ...
Data Scientist II
Pittsford, NY ยท Hybrid
$99K - $124K/yr
Some exposure with application of data mining algorithms and statistical modeling techniques such ... The application period for the job is estimated to be 40 days from the job posting date; however ...
Payment Integrity Analyst - Data Mining & Savings Reporting
OR ยท Remote
$69K - $92K/yr
... day. We've been putting people first for over 40 years, offering high-quality health plans across ... About This Opportunity In this role you'll use advanced data mining and analytical techniques to ...
Payment Integrity Analyst - Data Mining & Savings Reporting
OR ยท Remote
$69K - $92K/yr
... day. We've been putting people first for over 40 years, offering high-quality health plans across ... About This Opportunity In this role you'll use advanced data mining and analytical techniques to ...
Support day-to-day cryptocurrency mining operations through hands-on execution of assigned tasks * Deploy and decommission mining equipment in data center environments, including racking, cabling ...
Quick apply
Support day-to-day cryptocurrency mining operations through hands-on execution of assigned tasks * Deploy and decommission mining equipment in data center environments, including racking, cabling ...
Senior Data Scientist
$135K - $216K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Senior Data Scientist
$135K - $216K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Senior Data Scientist
$135K - $216K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Senior Data Scientist
$135K - $216K/yr
Conduct data analytics, data engineering, data mining, exploratory analysis, predictive analysis ... Each day, our employees do the can't be done by solving the most daunting challenges facing our ...
Day Shift Data Mining information
See salary details
$51K - $54.5K
21% of jobs
$54.9K is the 25th percentile. Wages below this are outliers.
$54.5K - $57.9K
29% of jobs
$57.9K - $61.4K
4% of jobs
$61.4K - $64.8K
0% of jobs
$64.8K - $68.3K
0% of jobs
$68.3K - $71.7K
0% of jobs
$71.7K - $75.2K
0% of jobs
$75.2K - $78.6K
0% of jobs
$78.6K - $82.1K
10% of jobs
$84.1K is the 75th percentile. Wages above this are outliers.
$82.1K - $85.5K
18% of jobs
$85.5K - $89K
18% of jobs
$51K
$70K
$89K
How much do day shift data mining jobs pay per year?

Job description
The SPECIALST collaborates with audit, analytics, and operations teams to identify new overpayment opportunities, define data selection parameters, and validate results. The SPECIALIST also provides training for production audit staff, and ongoing support for education and quality initiatives.
This is a remote role. Salary Range 80-100K depending upon experience.
Primary Responsibilities:
- Leverage Federal, State, Local, and Client-specific contracts, rules, regulations, and policies to identify data mining audit opportunities.
- Define data selection requirements and validate output to ensure accurate selections.
- Become a data SME for designated Client(s).
- Assist with obtaining Client approvals and any ad-hoc Client requests.
- Develop concept-specific training materials for audit staff.
- Monitor audit performance to ensure ongoing accuracy and to assess potential logic revisions.
- Maintain expertise on CPT, HCPCS, and ICD-10 Coding guidelines, other claim submission requirements, and reimbursement methodologies.
- 5+ years of complex claims processing and/or coding auditing experience in the health insurance industry.
- Knowledge of all payer types including Medicare, Medicaid, and Commercial plans.
- Prior experience in payment integrity audit development is highly preferred.
- Mastery of CPT, HCPCS, and ICD coding standards.
- Current Coding Certification:
- AAPC Certified Professional Coder (CPC), Certified Outpatient Coder (COC) certification, or
- Certified Coding Specialist (CCS) certification through AHIMA or
- RHIT designation
- Expert level understanding of medical claim coding and its impact on claim payments, including in-depth understanding of various reimbursement methodologies and the direct impact of incorrect coding.
- Ability to develop data mining audits, apply regulatory standards, and contractual requirements with credibility and objectivity.
- Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation.
- Knowledge of health insurance operations, specifically with claims processing, billing, reimbursement, or provider contracting.
- Prior experience in payer edit development, and/or reimbursement policy experience. For example:
- CMS policies and practices, including NCD's and LCD's, NCCI Edits for PTP and MUE, and DRG, APC, EAPG groupers
- Multiple Surgery Reductions
- 3-Day Payment Window
- Eligibility and COB
- Expertise in data analysis and EXCEL.
- Strong analytical and problem-solving abilities.
- Effective communication skills.
- Meticulous attention to detail.
- Python or SQL coding skills.
- Clinical background or experience.
- Demonstrated experience translating technical jargon to non-technical end users.
- Previous experience in the Payment Integrity space.
- Exposure to EDI transactions (837, 835).
- Experience using coding tools (such as 3M, Webstrat, and Encoder)
- Collaborative mindset and ability to work effectively across cross- functional teams.
- Proficiency in Outlook, Word, Excel, and other applications.
- Ability to work independently and can multi-task or transition to different tasks easily.
Goals and Expectations:
- The SPECIALIST is expected to generate logic specification requirements for a minimum of SIX new Concepts each month, with a minimum of FOUR moving forward.
- The SPECIALIST will acknowledge all inquiries within one business day.
- When further research is required, it will be completed and the inquirer updated, within the next two business days. (total of 3 business days)
- When additional action, including revising logic or closing claims, is required, it must be initiated, and the inquirer updated as to status, within the next two business days. (total of 5 business days)
- The SPECIALIST monitors the updates and ensures full and final resolutions, striving for completion within seven total business days.
- The SPECIALIST, in conjunction with Management and Operations staff, monitors Concept performance including yield and appeal statistics.
- The SPECIALIST completes "Second Look" requests within two business days.
About MedReview
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
New York, NY, US
Year founded
1974