Revenue Cycle Specialist

Description

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.

Responsibilities:

- Accurately apply ICD-10 and CPT codes to medical records and claims.

- Review and analyze outpatient coding to ensure compliance with regulatory standards.

- Manage and resolve insurance denials and claim discrepancies effectively.

- Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.

- Monitor claims for commercial insurance to ensure timely processing and reimbursement.

- Identify trends in claim denials and implement corrective actions to minimize future issues.

- Assist in maintaining updated coding certifications and staying informed about changes in coding practices.

- Communicate with insurance companies to negotiate resolutions for denied claims.

- Support the revenue cycle team in optimizing workflows and achieving financial goals.

If you are interested in this role please apply today and call us at . This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote.

Requirements - Proven experience in medical coding with expertise in ICD-10 and CPT codes.

- Certification in medical coding (e.g., CPC, CCS, or equivalent) is required.

- Strong knowledge of outpatient coding and commercial insurance processes.

- Familiarity with handling claim denials and insurance appeals.

- Excellent analytical skills to identify and resolve coding discrepancies.

- Ability to work collaboratively with healthcare providers and insurance representatives.

- Attention to detail and commitment to maintaining accuracy in coding.

- Familiarity with current industry standards and regulations related to medical coding. Talent Match®

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  for more information.

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