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Encounter Data Analyst Jobs (NOW HIRING)

Regal Medical Group, Inc.

$27 - $30/hr

The Encounter Data Analyst I, interprets results using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining. Designs, develops, implements and ...

SCAN

Health Care Analyst I

Long Beach, CA · On-site

$58K - $84K/yr

The Job Supports the Encounter Data team and the Health Care Informatics department by (1) ... Perform technical analysis and data mining for encounter data reporting requests from internal and ...

New

L.A. Care Health Plan

Manager, Encounters

Los Angeles, CA · On-site

$132K - $163K/yr

Serve as analytical resource for root cause analysis and issue resolution on issues relating to data submissions. Devise action plans to address encounter data that is either rejected by the agencies ...

L.A. Care Health Plan

Manager, Encounters

Los Angeles, CA · On-site

$132K - $163K/yr

Serve as analytical resource for root cause analysis and issue resolution on issues relating to data submissions. Devise action plans to address encounter data that is either rejected by the agencies ...

TEKsystems

Data Encounter Analyst

Canoga Park, CA · On-site

$28 - $35/hr

Description Analytical and data-driven healthcare professional with progressive experience in claims operations, managed care contracting, and system configuration. Extensive expertise in ICD-10 and ...

Xlysi

$40/hr

EDI Healthcare Analyst (Claims / Encounters & Enrollment) Location: Remote (US Only) Employment ... Experience in encounter data processing, EDI submission, and reconciliation testing for a health ...

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All JobsEncounter Data Analyst Jobs

Encounter Data Analyst information

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$34K

$82.6K

$136K

How much do encounter data analyst jobs pay per year?

As of Jun 8, 2026, the average yearly pay for encounter data analyst in the United States is $82,640.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $97,000.00 per year, depending on experience, location, and employer.

What is the difference between Encounter Data Analyst vs Encounter Data Coordinator?

AspectEncounter Data AnalystEncounter Data Coordinator
Required CredentialsBachelor's in health informatics, healthcare, or related field; familiarity with healthcare data systemsSimilar credentials; often requires experience with healthcare data entry and coordination
Work EnvironmentAnalyzing healthcare encounter data, ensuring data accuracy, and reportingManaging data collection, coordinating between providers and payers, ensuring data completeness
Employer & Industry UsageHospitals, insurance companies, healthcare analytics firmsHealthcare providers, insurance companies, billing departments
Common Search & ComparisonEncounter Data Analyst vs Encounter Data Coordinator

The Encounter Data Analyst focuses on analyzing and ensuring the accuracy of healthcare encounter data, while the Encounter Data Coordinator manages the collection and coordination of encounter information. Both roles require healthcare data knowledge but differ in their primary responsibilities and focus areas within the healthcare industry.

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

To thrive as an Encounter Data Analyst, you need strong analytical skills, attention to detail, and a background in health informatics, statistics, or a related field, often supported by a bachelor's degree. Familiarity with healthcare data systems such as claims processing software, SQL databases, and knowledge of HIPAA regulations are typically required, along with proficiency in tools like Excel or SAS. Excellent problem-solving abilities, communication skills, and the capacity to work both independently and collaboratively make someone stand out in this position. These skills are essential to ensure the accurate submission, validation, and analysis of healthcare encounter data, which directly impacts compliance, reporting, and reimbursement processes.

What are Encounter Data Analysts?

Encounter Data Analysts are professionals who specialize in managing, analyzing, and ensuring the accuracy of healthcare encounter data—records of patient interactions with healthcare providers. They play a crucial role in validating, processing, and reporting this data to meet regulatory requirements, support healthcare operations, and improve care quality. Their work involves collaborating with healthcare providers, payers, and IT teams to identify data discrepancies, perform quality checks, and generate actionable insights from large datasets.

What are some common challenges Encounter Data Analysts face when ensuring data accuracy and compliance?

Encounter Data Analysts often encounter challenges related to incomplete or inconsistent healthcare data submitted by providers. Ensuring compliance with regulatory requirements, such as CMS or state-specific guidelines, requires a strong attention to detail and frequent collaboration with data submitters and internal teams. Analysts must regularly validate, clean, and reconcile large datasets, troubleshoot discrepancies, and stay up-to-date on evolving reporting standards. Effective communication and analytical skills are essential for addressing these challenges and maintaining data integrity.
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Encounter Data Analyst jobs near you
Claims Encounter Analyst

Claims Encounter Analyst

Regal Medical Group, Inc.

On-site

$27 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Regal Medical Group rating

8.7

Company rating: 8.7 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

MUST BE ABLE TO WORK FULLY ONSITE IN NORTHRIDGE, CA.
Position Summary:
The Encounter Data Analyst I, interprets results using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining. Designs, develops, implements and maintains business solutions. Works directly with clients and project and business leaders to identify analytical requirements. This position is responsible for analyzing and correcting rejected encounters in a timely manner for Clearing House and Direct submitters. This position is accountable to ensure that encounters are corrected according to Health Plan industry standards and guidelines set by CMS and DHCS.
Essential Duties and Responsibilities include the following:
  • Correct rejected encounters , follow CMS and DHCS Claims processing guidelines and industry standard in correcting rejected encounters
  • Responsible for the entry of claims system support tables and oversight of processes to ensure our groups are meeting 5010 requirements and required to perform specialized area data entry or general data maintenance for eligibility, providers, fee sets, and benefits or any other areas that require ongoing support.
  • Conduct Root Cause analyst for encounter errors, meet with departments to go over processes or programming to minimize root cause.
  • Create and maintain an encounter error library.
  • Analyze trends of rejected encounters.
  • Develop and test internal audit/IDM reports to prevent rejected. Follow through that departments are maintaining audit reports.
  • Create policy and procedures to correct rejected encounters.
  • Create daily and weekly reports.
  • Establish and maintain strong relationships with Health Plans, Encounter Clearing Houses, and internal stakeholders to fix, prevent, and to obtain extra support in resolving encounter errors.
  • Educate internal stakeholders regarding regulator changes for encounters.
  • Lead and attend meetings as required.
  • Provides training to staff member in encounter corrections process.
  • Adhere to Data integrity policies for all system configurations.
  • Performs other duties as necessary.

The pay range for this position at commencement of employment is expected to be between $27 - $30 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services

Savings and Retirement:
  • 401k Retirement Savings Plan
  • Income Protection Insurance

Other Benefits:
  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Education and / or Experience:
  • Proficiency in Word, Excel, Access, Outlook, EZCAP and Encoder Pro.
  • Knowledge of Claim adjudication process (Professional & Institutional) required.
  • Knowledge in SQL Server.
  • Previous experience in a medical group / healthcare setting.
  • Proficiency in running data queries, analyzing and reconciling using multiple data sources.
  • Knowledge and experience in Project Management preferred.
  • Excellent time management skills.
  • Outstanding communication skills.
  • Fee schedule knowledge.
  • Diagnosis and procedures codes knowledge preferred.
  • Understanding of the Health Care industry, benefits, and eligibility processes preferred.
  • Medical group or IPA operations and information systems management preferred.
  • Ability to be a problem solver.
  • A bachelor's degree from a four-college or appropriate industry experience and/or certification preferred.

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