Job Description

Position Summary

At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As a leader in payment integrity solutions, we provide DRG Validation, Cost Outlier, Readmission Review, and Payment Integrity services to healthcare clients nationwide.

Under the direction of Payment Integrity leadership, the Data Mining Ideation Coordinator is responsible for supporting the daily administrative, technical, and quality assurance activities that enable the Data Mining Ideation team to operate efficiently and accurately. This role plays a critical part in maintaining client documentation, coordinating file exchanges, managing access requests, tracking operational activities, and supporting quality assurance initiatives across payment integrity operations.

The Data Mining Ideation Coordinator works closely with contract specialists, audit development staff, operations partners, analytics teams, and client-facing stakeholders to ensure information is organized, accurate, and readily available for business needs. Success in this role requires strong organizational skills, technical aptitude, attention to detail, and the ability to manage multiple priorities in a fast-paced healthcare environment.

Primary Responsibilities

• Maintain, organize, and track client documents, contracts, exclusion files, reference materials, and supporting documentation.
• Create, submit, monitor, and follow up on IT service tickets related to system access, file exchanges, documentation updates, and technical support needs.
• Coordinate file exchanges with clients and internal teams, ensuring files are received, routed, documented, and archived appropriately.
• Assist with quality assurance reviews by comparing claims data in Excel against contract language, exclusion files, and other reference materials.
• Maintain and update the master library of Data Mining audit concepts, logic documentation, training materials, and reference resources.
• Manage and maintain shared folders, trackers, and operational documentation to ensure information remains current, organized, and accessible.
• Archive outdated documentation and maintain clean, consistent folder structures according to established processes.
• Support operational workflows through clerical, tracking, documentation, reporting, and follow-up activities.
• Maintain and monitor user access to client portals and related systems, coordinating updates and troubleshooting access issues when needed.
• Support quality assurance initiatives designed to improve accuracy, consistency, and operational effectiveness.
• Provide timely status updates regarding open requests, pending items, blockers, and project milestones.
• Collaborate with audit, analytics, operations, and client-facing teams to support ongoing business objectives.
• Perform additional projects and duties as assigned.

Qualifications

• Associate's degree or equivalent combination of education and related experience preferred.
• Minimum of two (2) years of administrative, operations, healthcare, claims, or related business support experience.
• Advanced proficiency in Microsoft Excel, including experience working with large datasets, filters, lookup functions, data comparisons, and tracking tools.
• Strong technical aptitude with the ability to quickly learn new systems, portals, ticketing platforms, and operational tools.
• Excellent organizational skills with a proven ability to track multiple priorities and meet deadlines.
• Strong written and verbal communication skills.
• Ability to document processes, summarize issues, and maintain accurate records.
• Experience managing multiple tasks while maintaining accuracy and attention to detail.
• Ability to work independently while collaborating with cross-functional teams.
• Professional judgment and discretion when handling confidential, client-sensitive, or healthcare-related information.
• Proficiency with Microsoft Outlook, Word, Excel, Teams, SharePoint, OneDrive, and related business applications.
• Strong problem-solving skills and ability to escalate issues appropriately when additional support is needed.
• Ability to remain seated for extended periods and perform frequent computer, data-entry, and administrative tasks in an office environment.

Preferred Qualifications

• Experience working with medical claims, healthcare coding, payment integrity, payer operations, or a healthcare administrative environment.
• Experience comparing claims data to contracts, policies, exclusion documents, or other reference materials.
• Familiarity with healthcare claims processing systems and payer-side operational workflows.
• Experience supporting quality assurance, auditing, or compliance-related activities.
• Working knowledge of SQL, Python, or other data-querying and reporting tools.
• Experience maintaining operational documentation, trackers, and process workflows.
• Demonstrated ability to support multiple stakeholders and cross-functional teams.
• Strong analytical skills with the ability to identify discrepancies and ensure data accuracy.

Why Work at MedReview

At MedReview, you'll be part of a team dedicated to improving healthcare through accuracy, accountability, and clinical excellence. Our employees make a meaningful impact by helping healthcare organizations improve payment integrity and drive better outcomes, while working in a collaborative environment that supports professional growth, innovation, and continuous improvement. We offer competitive compensation, comprehensive benefits, and the opportunity to build a rewarding career with an industry leader.

Compensation & Benefits

Hourly Rate: $60,000 - $75,000 per year

Actual compensation will be based on qualifications, experience, skills, and business needs.

Eligible employees may participate in MedReview's benefit programs, including:

• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Life and Disability Insurance
• Paid Time Off and Company Holidays
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)

Job Tags

Hourly pay, Full time, Contract work, Work at office, Flexible hours

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