Job Description
Job 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.• 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.