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- Case Manager Medical Document and Data Specialist
Description
About Our Company
AccuMed is the premier provider of litigation support including expert witness services for medical damages. We offer historical and future cost analysis to support quick and successful pre-litigation outcomes using our database of over 20 billion patient encounters to establish the reasonable value of healthcare costs. We provide powerful and transparent data to establish, refute, or defend the reasonable value of medical charges.
Job Overview
This is a rare opportunity to build expertise at the intersection of medical billing, coding, and litigation support. Case Managers at AccuMed play a central role in delivering transparent, data-backed valuations of medical damages for legal professionals to drive informed case decisions. If you are someone who thrives on complex, analytical work and finds genuine satisfaction in creating structure from chaos, this role was built for you.
The work is high-volume and fast-paced, demanding sharp analytical instincts, strong organizational discipline, and the ability to produce reliable work product from complex and often disorganized source material. You will serve as both an analytical specialist and a partner to attorneys, paralegals, and expert witnesses throughout the case lifecycle.
About This Work
If you come from a traditional medical billing or coding background, there are things about this work that will feel familiar and things that will require you to think differently. Most medical coders work within a single provider environment, coding forward-looking claims for submission to payers. They have access to the provider for queries, the ability to audit in real time, and the guidance of payer-specific reimbursement rules. None of those conditions exist here.
At AccuMed, Case Managers review documentation that is often months or years removed from the date of service. There is no provider to query, no supplemental documentation to request, and no payer framework to lean on. All analysis is conducted on the record as received. Our coding methodology is narrowly scoped, independent of payer guidelines, and focused entirely on establishing the reasonable value of care. Candidates who have built their instincts around reimbursement-oriented coding will need to set that framework aside and work within ours.
The documents themselves present an additional layer of complexity. Records arrive unstructured, out of order, and with duplicates that must be retained. A significant part of this role is imposing order on that raw material before analysis can even begin. Candidates who find that kind of work intellectually engaging, who genuinely enjoy creating structure where none exists, will thrive here. Those who need clean inputs to function well may find this role frustrating.
This is also a high-volume, fast-turnaround environment. Strong performers are organized, self-directed, and able to move quickly without sacrificing accuracy or defensibility. The reward for those who are wired for this work is a role with real intellectual depth, meaningful client impact, and a career path in a niche field where expertise is genuinely hard to find and highly valued.
Responsibilities
- Receive and review large volumes of unstructured medical and billing records, separating and categorizing complex document packages into logical, reviewable order while preserving all received documentation including duplicates
- Identify gaps, inconsistencies, and missing components within disorganized record sets and determine appropriate next steps
- Extract and capture data from medical bills and supporting documentation, reconcile gaps in data using available records and coding guidelines, and structure compiled data into a complete, analysis-ready format
- Reconcile billed charges with medical record documentation and client billing summaries
- Research and apply medical coding guidance and AccuMed code review methodologies to develop reportable evaluations of coding compliance and the reasonable value of charges
- Serve as the primary operational partner to Expert Witnesses throughout the case lifecycle, managing the informational flow of each case, proactively identifying and communicating relevant case details, and coordinating all touchpoints between experts and clients. Case Managers do not perform expert work but are responsible for ensuring experts have everything they need to do their work accurately, efficiently, and with full case context.
- Engage in frequent communication with paralegals and attorneys to clearly convey analysis results, product offerings, and case status updates
- Advise clients using sound discretion and independent judgment to recommend tailored product solutions aligned with their strategic goals
- Manage case timelines and independently prioritize a high-volume workload to meet deadlines
- Collaborate with the Client Success Manager to obtain, report, and analyze client feedback
Culture & Work Environment
AccuMed's culture is built on four core values: humility, honor, positivity, and engagement. These are not aspirational talking points. They are embedded in how we make decisions, how we treat one another, and how we show up every day. Our team genuinely enjoys working together, collaborates freely, and takes pride in helping colleagues carry the load when it is needed.
This role is primarily in-office four days per week, with one remote day on Wednesdays. Candidates who thrive in a collaborative, team-oriented environment and are energized by working alongside people who take their work seriously and each other even more seriously will feel at home here.
We Offer:
- Health, Vision, Dental Insurance
- 401K Match
- Cell phone contribution of $75/month
- Generous vacation policy (15 days/year to start)
- Company holidays
- WFH Wednesdays
- Summer Friday Office Hours
Requirements
Qualifications & Skill Sets
- 2 to 4 years of relevant experience in medical billing, coding, revenue cycle, or a closely related field
- Demonstrated ability to impose structure on disorganized, high-volume, or incomplete documentation
- Strong document management instincts, including the ability to identify what is missing and what belongs where
- Ability to apply coding guidelines in a retrospective, closed-record environment with no ability to query providers or obtain supplemental documentation
- Capacity to work within a defined, non-payer coding framework and set aside reimbursement-oriented coding instincts
- Comfort making defensible coding decisions based solely on available documentation
- Strong analytical mindset with the ability to interpret complex information and apply sound logic to informed decisions
- Excellent written and verbal communication skills, including experience communicating with legal professionals
- Ability to independently manage a high-volume caseload in a fast-paced, deadline-driven environment
- Creative and adaptable problem-solving approach
- Intermediate Excel skills
- Collaborative, positive mindset with a genuine investment in team success
Education
Bachelor’s degree required
Relevant Certifications (Preferred)
- Medical Billing/Coding Certification: CPC, CPB, CIC, CPMA, CCS, CCA, CHDA
- Revenue Cycle or Claims credentials: Medical Billing Specialist, Medical Claims Adjuster, Medical Billing Analyst, Revenue Cycle Management, Medical Claims Processor
- Data Analytics Certification with healthcare data or medical billing experience
Physical Requirements
- Must be able to remain in a stationary position 50% of the time.
- Constantly operates a computer and other office productivity machinery.
