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Accounts Receivable Specialist

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Illinois (USA), United States

Offer summary

Qualifications:

Certified Professional Coder (CPC), 2+ years experience as medical coder, Proficiency in CPT, ICD-10, HCPCS.

Key responsabilities:

Assign accurate codes for medical procedures
Conduct reviews of medical records
Collaborate with healthcare team
Stay updated on regulations and policies
Validate claims for accuracy

Synapticure Inc. Startup https://synapticure.com/

11 - 50 Employees

See more Synapticure Inc. offers

Job description

About Synapticure

Synapticure launched in early 2022 to serve individuals living with ALS, and we continue to expand our care for additional neurodegenerative diseases including Parkinson’s Disease, Huntington’s, Alzheimer’s and other Dementias. We are backed by Google Ventures, Optum Ventures and other top healthcare investors.

Synapticure aims to give all patients living with neurodegenerative disease access to the best care while fueling the advancement of personalized treatments. We do so by creating a guided journey for each patient, their caregivers, and family that educates and empowers while navigating the complex challenges facing patients and facilitating access to critical tests and leading experts. With our patients’ consent, their de-identified data is then used to both inform personalized treatments for patients today and to speed the development of new targeted therapies. Synapticure serves patients in all 50 states and the District of Columbia.

Over the next year we’ll be growing quickly to serve thousands of individuals and their families per year; to achieve this, we require effective, knowledgeable, and compassionate team members who are eager to build a new standard of care for individuals living with neurodegenerative diseases.

About the Role

You will work closely with our finance, data and operations teams, utilizing your knowledge of medical coding standards and regulations including private insurers, Medicare and Veterans Affairs, to ensure accurate coding, compliance, and appropriate reimbursement. This position requires the ability to collaborate effectively in a fast-paced, virtual environment, with a detail-oriented approach and exceptional technical coding knowledge and skills.

You’ll work remotely, with occasional travel to Chicago or other locations to meet with your colleagues.

Responsibilities

Employ techniques to assign appropriate codes for medical procedures, diagnoses, and services, including CPT, ICD-10, HCPCS, and applicable modifiers.

Conduct thorough reviews and analysis of patient medical records, encounter forms, and related documents to verify coding accuracy and adherence to guidelines.

Collaborate with physicians, nurses, and administrative staff to address questions and discrepancies.

Keep abreast of evolving regulations, policies, and reimbursement methodologies, adjusting coding practices to remain compliant and up-to-date.

Validate claims and invoices for coding accuracy and adherence to Medicare and VA requirements, promptly identifying and addressing any inconsistencies.

Participate in the creation of reports and audits for internal and external evaluations, including quality assurance and compliance assessments.

Maintain effective communication with finance, data and clinical teams to ensure the smooth submission and processing of claims, ensuring proper reimbursement.

Minimum Qualifications

Certified Professional Coder (CPC) or equivalent coding certification

Minimum of 2 years of experience as a medical coder

Proficiency in coding systems such as CPT, ICD-10, and HCPCS, accompanied by an understanding of coding guidelines and policies

Strong written and verbal communication abilities for effective collaboration within virtual interdisciplinary teams and addressing coding queries

Familiarity with electronic health record (EHR) systems and medical billing tools

Preferred Qualifications

Experience conducting coding audits and quality assurance assessments

Expertise with maintenance of fee schedules within an EHR/RCM system, including managing billing

Familiarity with Medicare and VA-specific coding systems and procedures

Previous experience with outpatient care and/or telehealth-specific billing protocols

Demonstrated success in a virtual work environment