Description We are looking for a meticulous Medical Claims Analyst to join our team in Flint, Michigan. In this role, you will play a pivotal part in ensuring the accuracy and compliance of medical billing and coding processes. This is a Contract-to-Permanent opportunity for individuals with a strong background in medical claims and coding.
Responsibilities:
Assign accurate medical codes to outpatient records based on thorough analysis of documentation.
Verify, update, and abstract patient data to maintain data integrity and align with organizational protocols.
Stay informed about changes to coding systems, including annual revisions, to ensure compliance and proper reimbursement.
Utilize electronic and physical resources to enhance understanding of coding and classification processes.
Collaborate with healthcare providers to select appropriate codes, care plans, and treatment orders while educating them on documentation requirements.
Manage medical billing and follow-up processes for third-party payers to ensure timely reimbursement.
Maintain proficiency in computerized patient management systems and data entry tasks.
Provide guidance on coding compliance and reimbursement requirements to the staff.
Address claims appeals and oversee billing functions to resolve discrepancies effectively. Requirements - Strong knowledge of medical coding systems, including ICD-10-CM and CPT codes.
Proficiency in medical terminology and anatomy for accurate code assignment.
Experience working with computerized patient management systems and Windows-based platforms.
Ability to interpret medical records and translate them into correct codes.
Familiarity with medical billing procedures and third-party payer requirements.
Demonstrated expertise in claims administration and appeals processes.
Effective collaboration skills to work with healthcare professionals and staff.
Minimum of 3 years of relevant experience in medical billing and coding.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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