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Day Shift Data Mining Jobs (NOW HIRING)

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

Reston, VA

$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

Reston, VA

$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 ...

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 ...

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 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 ...

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 ...

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 ...

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Day Shift Data Mining information

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$70K

$89K

How much do day shift data mining jobs pay per year?

As of Jun 8, 2026, the average yearly pay for day shift data mining in the United States is $69,999.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,000.00 and $85,000.00 per year, depending on experience, location, and employer.
What cities are hiring for Day Shift Data Mining jobs? Cities with the most Day Shift Data Mining job openings:
What are the most commonly searched types of Shift Data Mining jobs? The most popular types of Shift Data Mining jobs are:
What states have the most Day Shift Data Mining jobs? States with the most job openings for Day Shift Data Mining jobs include:
Infographic showing various Day Shift Data Mining job openings in the United States as of May 2026, with employment types broken down into 86% Full Time, 7% Contract, and 7% Nights. Highlights an 100% In-person job distribution, with an average salary of $69,999 per year, or $33.7 per hour.
Payment Integrity Data Mining Ideation SME

Payment Integrity Data Mining Ideation SME

MedReview

Remote

Full-time

Posted 19 days ago


Job description

As a DATA MINING IDEATION SPECIALIST, you will leverage your expertise in medical coding requirements, claim adjudication processes, and reimbursement methodologies to develop Data Mining audits that promote payment accuracy across our Clients' Medicaid, Medicare, and Commercial lines of business. Your strong analytical skills, in-depth understanding of claims data, and attention to detail are key to success in creating audit concepts that identify improper payments with the highest possible degree of accuracy and consistency.
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.
Required Qualifications:
  • 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.
Desirable Qualifications:
  • 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.