Flint, MI, 48503, USA
10 days ago
Medical Claims Analyst
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. Requirements • 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. 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. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. 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. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
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