[Remote] Medical Biller and Coder at Circle Medical

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Certified Professional Coder (CPC)
3+ years of experience in medical coding
Advanced knowledge of CPT, ICD-10, and HCPCS codes
Familiarity with payer guidelines and documentation requirements
Proficiency in EHR and coding platforms, Google Workspace, and Microsoft Office
Excellent organizational skills and meticulous attention to detail
Proven time management and ability to meet deadlines
Commitment to confidentiality and HIPAA regulations
Associate degree in Business, Finance, Health Administration, or a related field (Preferred)
3+ years of coding experience in a predominantly primary care setting (Preferred)
Experience in mental/behavioral health billing (Preferred)

Responsibilities

Review and accurately assign CPT, ICD-10, and HCPCS codes for office and telemedicine encounters
Maintain current knowledge of payer policies, regulations, and coding requirements
Verify coding compliance with federal, state, and payer-specific guidelines
Collaborate with providers to clarify documentation and resolve coding discrepancies
Respond to patient inquiries regarding coverage denials, coding clarifications, and resubmissions
Collaborate with clinical and RCM leadership to resolve coding discrepancies
Identify coding trends, risks, and recommend process improvements to enhance billing accuracy and reimbursement efficiency
Support the billing team in reducing claim denials related to coding errors
Maintain detailed, organized records and coding audits as needed
Stay up to date with regulatory changes, payer updates, and coding best practices

Skills

Circle Medical

Telehealth services for virtual medical consultations

About Circle Medical

Circle Medical provides telehealth services that allow individuals to access healthcare without visiting a physical clinic. The company connects patients with licensed healthcare providers through secure video chat, enabling virtual consultations for general medical issues, annual wellness exams, well-woman exams, and COVID-19 testing assessments. This approach enhances accessibility and reduces the need for in-person visits, which is especially useful during public health crises. Circle Medical generates revenue through insurance reimbursements and out-of-pocket payments, accepting all major insurance plans and offering a transparent billing process. The company targets tech-savvy individuals who value convenience and efficiency in their healthcare experience.

San Francisco, CaliforniaHeadquarters

2015Year Founded

$12.2MTotal Funding

ACQUISITIONCompany Stage

Consumer Software, HealthcareIndustries

201-500Employees

Benefits

Flexible Work Hours

Paid Vacation

Paid Sick Leave

Paid Holidays

401(k) Company Match

401(k) Retirement Plan

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Wellness Program

Mental Health Support

Professional Development Budget

Company Equity

Risks

Integration challenges with HEALWELL's AI could disrupt operations if not managed well.

Strategic shifts from new AI leadership may impact current service delivery.

WELL Health's investment might lead to governance changes, causing internal disruptions.

Differentiation

Circle Medical offers both in-person and virtual healthcare services.

The company integrates AI to enhance electronic medical records and patient care.

Circle Medical accepts major insurance plans, ensuring broad patient accessibility.

Upsides

Growing demand for telehealth post-COVID-19 boosts Circle Medical's market potential.

AI integration with HEALWELL enhances operational efficiency and patient outcomes.

Hybrid healthcare models offer flexibility, aligning with Circle Medical's service offerings.

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