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1 result for Claims Processor Administrative And Customer Support in Detroit, MI

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We are in search of a Medical Claims Analyst to join our team! This role offers a remote work schedule and is a contract to permanent employment opportunity. As a Medical Claims Analyst, you will be tasked with processing and verifying patient data, accurately assigning codes to outpatient medical records, and working closely with providers to identify the appropriate care plans for patients. Your responsibilities will also include understanding coding changes that impact coding, compliance, and reimbursement requirements, and educating providers on the appropriate documentation to support all codes captured in the electronic health record.

Responsibilities:

• Accurately assign CPT-4 and HCPCS codes to outpatient medical records based on documentation.

• Verify, modify, and abstract patient data to meet data integrity and organization-specific protocols and requirements.

• Stay updated with the coding and classification system(s) revision cycle (ICD-10-CM and MSDRG annually).

• Utilize electronic and hard copy resources to assist in accurately assigning coding and classification codes.

• Collaborate with providers to identify the appropriate ICD-10, CPT, and HCPCS codes for patient care plans and associated treatment orders.

• Educate providers on the appropriate documentation to support all codes captured in the electronic health record.

• Work with computerized patient management systems and enter data accurately.

• Handle medical billing and follow-up for third party payors.

• Perform other related duties as assigned.

• Applicant must possess a minimum of 2 years of experience as a Medical Claims Analyst or in a similar role.

• The candidate must be a certified Coding Specialist or certified Medical Biller.

• Proficiency in CPT, HCPCS, and ICD codes is necessary.

• Proficiency in using Cerner Technologies is preferred.

• Familiarity with the CMS Platform is necessary for this position.

• Knowledge of Billing Functions is essential for this role.

• Demonstrable experience in Claim Administration is required.

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 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.

1 result for Claims Processor Administrative And Customer Support in Detroit, MI

Medical Claims Analyst We are in search of a Medical Claims Analyst to join our team! This role offers a remote work schedule and is a contract to permanent employment opportunity. As a Medical Claims Analyst, you will be tasked with processing and verifying patient data, accurately assigning codes to outpatient medical records, and working closely with providers to identify the appropriate care plans for patients. Your responsibilities will also include understanding coding changes that impact coding, compliance, and reimbursement requirements, and educating providers on the appropriate documentation to support all codes captured in the electronic health record. Responsibilities: • Accurately assign CPT-4 and HCPCS codes to outpatient medical records based on documentation.• Verify, modify, and abstract patient data to meet data integrity and organization-specific protocols and requirements.• Stay updated with the coding and classification system(s) revision cycle (ICD-10-CM and MSDRG annually).• Utilize electronic and hard copy resources to assist in accurately assigning coding and classification codes.• Collaborate with providers to identify the appropriate ICD-10, CPT, and HCPCS codes for patient care plans and associated treatment orders.• Educate providers on the appropriate documentation to support all codes captured in the electronic health record.• Work with computerized patient management systems and enter data accurately.• Handle medical billing and follow-up for third party payors.• Perform other related duties as assigned.