Medical Claims Analyst Cover Letter

In response to your job posting for medical claims analyst, I am including this letter and my resume for your review.

In my previous role, I was responsible for information and feedback daily on coding related issues, edits, denials, reimbursement trends, and coding errors to Operational Management and Medical Management.

My experience is an excellent fit for the list of requirements in this job:

• Resource will be researching accumulators (terminology will be explained), running reports, and researching errors
• Need someone analytical and comfortable with spreadsheets (Excel)
• Potential to convert later, but not guaranteed
• Experience analyzing and summarizing Medicare, Medicaid, Federal Employee Health Benefits Program and private health insurance claims data and financial data
• Familiarity with interviewing witnesses, investigative processes and online research tools such as LexisNexis and WestLaw
• Experience with Medicaid/Medicare claims, student loan programs and DoD contracting preferred
• Current CPC certification (Certified Professional Coder) strongly preferred
• RHIT or RHIA desirable

Please consider me for the medical claims analyst opportunity. I am including my resume that lists my qualifications and experience.

Previously, I was responsible for education to management and team members on payer specific claim processing rules, reimbursement, and other policy guidelines as gleaned by, and confirmed through working directly with payers.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Experience within the healthcare, hospital or insurance markets preferred
• Familiarity with claims coding constructs and data (CPT/HCPCS/Revenue Codes, groupers, EMR, profiling)
• Knowledgeable of Medicare claims processing and medical review process
• RHIA, THIT, CCS or CCS-P certification preferred
• Shows a sense of urgency and is accountable for work results
• Effective time management and organizational skills with an attention to detail and strong analytical and decision-making abilities
• Demonstrated understanding of computer systems such as email, data entry, and Microsoft products, with proficient keyboarding skills
• Insurance product knowledge of Business area

I am excited to be applying for the position of medical claims analyst. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for clinical review of claims to determine coding and billing accuracy and medical appropriateness of various types of provider claims.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Demonstrated working knowledge in Word, Excel, Outlook, and internet preferred
• Medical Malpractice experience is strongly preferred
• Previous experience working in a level I trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
• Previous experience with ICD-10 coding
• DRG coding experience
• Previous experience with OSHPD reporting
• Previous experience with various encoder systems (eCAC,3M, EPIC)
• Previous experience with Computer Assisted Programming (CAP)

Please consider me for the medical claims analyst opportunity. I am including my resume that lists my qualifications and experience.

In my previous role, I was responsible for internal customers with periodic educational sessions and updates relating to the interpretation and changes made to the coding of the medical policy.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Advanced computer skills, including Word, Excel and data entry
• Very strong attention to detail applied to assigned tasks
• Strong arithmetical skills
• Detail-orientated approach to work
• Team player demonstrating enthusiasm and commitment to company vision and mission
• Flexibility to adapt to a dynamic, evolving work environment
• Familiar with medical bill coding
• Familiarity with medical terminology, coding and UB-04 claims forms preferred

I submit this application to express my sincere interest in the medical claims analyst position.

In the previous role, I was responsible for notification to the Supervisor of any provider appeals and follow directions as given to resolve the claim.

Please consider my qualifications and experience:

• Provide healthcare code set knowledge and expertise to support, maintain, and assist in managing use and distribution of healthcare industry standard code set data
• Under general direction, and in collaboration with others, focuses on educating or sharing healthcare code set data knowledge to assist in improving and optimizing business processes, facilitate healthcare clinical and operational decision making, support interoperable electronic reimbursement activities
• CPC, RHIA, or RHIT
• Deep knowledge of Medical Code Sets
• Knowledge of NCPDP, SnoMed, Rx Norm
• Proven result-oriented behavior
• Proactive flexible attitude, willingness to learn new skills
• Experience working in an Agile delivery environment (Rally, Confluence, SharePoint, Git)