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Coding and Claims Specialist

Medici

Medici

San Antonio, TX, USA
Posted on Thursday, July 4, 2024
Company Summary

Medici is changing the healthcare system by delivering best-in-class preventive and complex condition care that dramatically improves outcomes, provides quick access to care, and significantly reduces medical costs. Medici is made up of two divisions: Medici Virtual and Medici OnSite.

Medici Virtual offers virtual primary care, lifestyle medicine, mental health, physical therapy, cardiology, and more. Medici Onsite offers in-person primary and specialty care through onsite, shared site and near site clinics. Medici acquired Health by Design in 2021, a San Antonio, Texas based company, integrating onsite care into a world class virtual healthcare system.

With an ambitious growth trajectory, Medici is attracting and cultivating team members who embody Medici values and are passionate about our mission to rebuild healthcare to what it should be.

Job Summary

Join our team as a Coding and Claims Specialist and play a vital role in ensuring the accuracy and efficiency of our medical billing processes. This role is primarily remote but requires the individual to be in a commutable area near the San Antonio office, with visits to the office once every 2-3 months. You’ll be working with our onsite wellness centers and Executive Exams, contributing to our mission of providing exceptional healthcare services.

Essential Job Functions

  • Accurately code medical services, diagnoses, and treatments.
  • Support the transfer of data via Clearinghouse and Electronic Data Interface.
  • Perform Quality Assurance checks to maintain the integrity of medical data in the claims process.
  • Correct rejected claims efficiently and effectively.
  • Collaborate with medical staff to resolve coding issues.
  • Provide “Help Desk” support for Billing and Claims as needed.
  • Ensure the accuracy and integrity of patient billing.
  • Review pricing and costing to maintain accuracy and currency.
  • Advise management on pricing requirements and cost-saving opportunities.
  • Review coding procedures and claims management for timeliness and accuracy.
  • Utilize medical records knowledge to support the billing and claims process.
  • Work closely with the Accounting department to facilitate appropriate patient payments.

Essential Job Requirements

  • A commitment to excellence.
  • Strong problem-solving abilities.
  • Initiative, willingness to learn, and a proactive mindset.
  • Ability to accept responsibility and work independently.

Education And Certifications

  • Bachelor’s degree or equivalent work experience.
  • CPC (Certified Professional Coder) – recommended but not required.
  • CPB (Certified Professional Biller) – recommended but not required.

Experience

  • Minimum of two years in medical billing, claims management, or medical records management.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.

Physical Requirements

  • The team member is frequently required to stand, walk, sit, stoop, kneel, or crouch.
  • The team member may regularly lift and/or move up to 10 pounds, with occasional lifting of up to 25 pounds.

Limitations and Disclaimer

  • The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position.
  • All job descriptions are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other team members.
  • This job description in no way states or implies that these are the only duties to be performed by the team member occupying this position. Team members will be required to follow any other job-related instructions and to perform other job-related duties requested by their team leader in compliance with federal and state laws.
  • Requirements are representative of minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the team member must possess the abilities or aptitudes to perform each duty proficiently.

Equal Employment

  • Medici is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state, and local law.

$40,000 - $45,000 a year

We offer a comprehensive benefits package including health, dental, and vision insurance, 401(k) retirement savings plan with company match, and paid time off. Salary range: $40,000 - $45,000 per year with a bonus. We are open to discussing compensation during the interview process.