Medical & Billing Coder - Texas

United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical Billing, Medical CodingIndustries

Requirements

Candidates must possess a CPC, APCC, or DRG coder certification, with payment integrity or professional bill review experience being strongly preferred; out-of-network bill review experience is a plus; experience working in a remote environment and a medical office or healthcare background is desired; CPC, CCS, or CCA certification is preferred but not required; experience is a must, and access to billing references/engine is needed; deposition/testimony experience is preferred but not required; extensive knowledge of Texas billing resources such as FairHealth, Medicaid Texas, and Texas Healthcare is required; and coding counter-audit experience is a plus.

Responsibilities

The Medical & Billing Coder will evaluate the appropriateness of codes and determine whether they meet established program standards, ensuring that medical records are matched appropriately to the codes and obtaining them if not; they will read and apply policy guidelines and healthcare terminology, delineating when criteria are met or not; evaluate claims for conflict of interest and criteria appropriateness, working within established timeframes set by program parameters; provide strong customer service skills and work closely with clients on a case-by-case basis to provide complete, timely, and error-free quality assurance of cases; provide clinical oversight to complex cases needing additional review prior to return to the client; serve as an additional level of QA and clinical knowledge/review for cases with quality issues; and communicate with other reviewers and their office teams to ensure clarity of information and ensure that reports are returned within client deadlines.

Skills

CPC certification

APCC certification

DRG coder certification

Payment integrity

Professional bill review

Out-of-network bill review

Medical billing

Medical coding

Healthcare terminology

Customer service

Quality assurance

Blank Street

Specialty coffee shop with efficient service

About Blank Street

Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.

New York City, New YorkHeadquarters

2020Year Founded

$50.6MTotal Funding

EARLY_VCCompany Stage

Food & Agriculture, Consumer SoftwareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

Flexible Work Hours

Company Equity

Risks

Rapid expansion may lead to operational inefficiencies and overextension.

Subscription program may not resonate with all customer segments, risking dissatisfaction.

Reliance on outsourced vendors poses risks if supply chain disruptions occur.

Differentiation

Automated espresso machines ensure consistent quality and enhance barista-customer interaction.

Small, cost-effective locations reduce overhead and allow competitive pricing.

Focus on high-quality, clean, and natural products at affordable prices.

Upsides

Rapid expansion into major cities increases brand visibility and market presence.

Subscription model provides steady revenue and enhances customer loyalty.

Partnerships with lifestyle brands boost brand visibility and customer engagement.

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