Dental Analyst I

Overview Perform Dental daily review/audits on client data for completeness and accuracy of coding, utilizing coding background to ensure appropriateness for reimbursement when providing recommendations on clinical claims to the client: Makes certain the requirements for Current Dental Terminology (CDT), ADA and other related concessions are met. Performs duties according to structured algorithms or other written guidelines. Handles moderately complex issues, refers all medical necessity procedures to higher-level staff for approval or denial. Possesses solid working knowledge of subject matter. High school diploma or GED is required. Minimum of three years work experience in a clinical role in the dental office, as a Dental Assistant or Dental Hygienist. Ability to work as part of a team. Analytical thinking skills. Statistical knowledge. Technical expertise. Computer skills. Detail oriented. Ability to meet deadlines. Mathematical skills. Project management skills. Special projects and other duties as assigned by management. Reports to a department head or manager Responsibilities Perform daily audits on client data for completeness and accuracy of coding utilizing coding background to ensure appropriateness for reimbursement. When providing recommendations on clinical claims to the client: Does not interpret or evaluate clinical information but performs duties according to structured algorithms or other written guidelines. Licensed personnel provide oversight and follow-up