What are the responsibilities and job description for the Medical Claims Analyst position at Robert Half?
Job Description
Job Description
We are a healthcare organization based in Flint, Michigan, United States, currently seeking a Medical Claims Analyst. In this role, you will be responsible for tasks such as coding patient data, auditing patient records, and liaising with healthcare providers. This position offers a contract with potential for permanent employment.
Responsibilities :
- Assign codes to outpatient medical records based on medical documentation.
- Verify, modify, and abstract patient data to ensure data integrity and adherence to organizational protocols.
- Keep abreast of changes affecting coding, compliance, and reimbursement requirements in the coding and classification system.
- Use various electronic and hard copy resources to assist in accurately assigning coding and classification codes.
- Work with healthcare providers to identify appropriate ICD-10, CPT, and HCPCS codes for patient care plans and treatment orders.
- Educate on proper documentation to support all codes captured by the providers in the electronic health record.
- Perform other related duties as assigned.
- Apply skills in Cerner Technologies, CMS Platform, Appeals, Billing Functions, Claim Administration, and Coding.
- Minimum of three years of experience in a similar role as a Medical Claims Analyst
- Proficiency in using Cerner Technologies for claim administration
- Familiarity with CMS Platform operations
- Experience in handling appeals related to medical claims
- Proficient in managing billing functions in a medical setting
- Extensive knowledge in medical claim coding
- Certification or relevant experience as a Coding Specialist is highly desirable
- Excellent communication and interpersonal skills
- Ability to work in a fast-paced, high-volume environment
- Detail-oriented with strong analytical skills
- Solid problem-solving abilities with a focus on improving processes and outcomes.
