Dental Analyst I

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct daily evaluations and audits of client data to ensure thoroughness and accuracy in coding.

• Apply dental coding expertise to confirm the appropriateness of reimbursements while advising on clinical claims.

• Ensure compliance with Current Dental Terminology (CDT), ADA, and related guidelines.

• Execute tasks following established algorithms or documented procedures.

• Address moderately complex issues and escalate medical necessity procedures to senior staff for approval or denial.

• Handle provider appeals concerning non-clinical matters.

• Address client logics and record reviews pertaining to non-clinical issues.

• Evaluate and respond to the educational needs of clients and providers.

• Track acceptance rates for assigned clients and assist management in identifying any negative trends.

• Provide constructive feedback to Management and Development regarding editing and efficiency enhancements.

• Relay client feedback to appropriate teams.

• Participate in the Quality Committee as necessary.

• Fulfill responsibilities outlined in the annual Performance Plan.

• Report to a department head or manager.

⛳️ Requirements

• High school diploma, GED, or equivalent professional experience.

• At least 3 years of experience in a clinical role within a dental office, such as a Dental Assistant or Dental Hygienist.

• Dental coding certification preferred; must have the credential or the ability to obtain it.

• General understanding of dental procedures, conditions, and treatment methodologies.

• Strong written and verbal communication skills.

• Ability to think logically and process information sequentially with a high degree of accuracy to detail.

• Proficient in Microsoft Word, Excel, PowerPoint, Outlook, and other personal computer applications.

• Capable of conducting effective training sessions for internal staff and clients.

• Ability to collaborate as part of a team.

• Strong analytical thinking capabilities.

• Knowledge of statistical methods.

• Technical proficiency.

• Detail-oriented mindset.

• Ability to meet deadlines consistently.

• Proficient mathematical skills.

• Project management abilities.

• Must be capable of performing responsibilities with or without reasonable accommodations.

• Must establish a dedicated and secure workspace.

• Must ensure high-speed internet access/connectivity and maintain office setup.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Disability insurance.

• Life insurance coverage.

• 401(k) savings plan.

• Paid family leave.

• 9 paid holidays per year.

• 17-27 days of Paid Time Off (PTO) annually, based on specific level and length of service.

• Overtime pay eligibility for nonexempt employees for hours exceeding 40 per week, or as mandated by applicable state law.

• Remote work arrangement.

• Dedicated and secure workspace.

• High-speed internet access/connectivity and office setup and maintenance.