Description
We are seeking a Medical Claims Examiner to join our client in Oakland, California. This position entails auditing medical claims for compliance and accuracy in a healthcare setting. This role offers a contract employment opportunity and is instrumental in maintaining the integrity of our billing functions within the healthcare industry.
Responsibilities
- Conduct thorough audits of medical coding within customer records
- Utilize CMS Platform and other relevant software for auditing and record-keeping purposes
- Adhere to and maintain confidentiality protocols regarding company procedures and customer information
- Independently plan, prioritize, and organize work to meet critical deadlines
- Exercise meticulous attention to detail while inputting data into various computer systems and software programs
- Communicate effectively, both orally and in writing, with staff, clients, and public agencies
- Exhibit a detail oriented and helpful attitude, demonstrating a willingness to be responsive to all customer groups
- Maintain a safe working environment by adhering to company safety policies and procedures
- Use knowledge of medical terminology, CPT, ICD-10-CM, HCPCS, and other necessary codes to ensure accurate payment of claims
- Regularly use interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, and other agencies.
If you are interested in this role, call us immediately at (510) 470-7450
Requirements
- Possess a minimum of 5 years of experience in the healthcare industry, specifically in medical coding and auditing.
- Demonstrable proficiency in using 3M for medical coding and auditing purposes.
- Proven experience in billing functions within a healthcare setting.
- Previous experience in claim administration is necessary.
- Familiarity with CMS Platform is required.
- In-depth knowledge of CPT Codes, ICD-10, ICD CPT, and HCPCS Coding.
- Must have strong analytical skills to accurately identify and resolve discrepancies in medical coding.
- Excellent communication skills to effectively interact with medical professionals and report findings.
- Strong attention to detail and the ability to work independently.
- A commitment to maintain up-to-date knowledge of relevant healthcare laws and regulations.
- Proven ability to maintain confidentiality and handle sensitive information with discretion.
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
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