SynaptiCure Inc. Accounts Receivable Specialist

About Synapticure

As a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer’s, Parkinson’s and ALS.

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.  

• 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.

• 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 
• 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

Our values

We’re founded by a patient and caregiver, and we’re a remote-first company. This means our values are at the heart of everything we do, and while we’re located all across the country, these principles are what tie us together around a common identity:

●      Relentless focus on patients and caregivers. We are determined to provide an exceptional experience for every patient we have the privilege to serve, and we put our patients first in everything we do.

●      Embody the spirit and humanity of those living with neurodegenerative disease. Inspired by our founders, families and personal experiences, we recognize the seriousness of our patients’ circumstances, and meet that challenge every day with empathy, compassion, kindness, joy, and most importantly – with hope.

●      Seek to understand, and stay curious. We start by listening to one another, our partners, our patients and their caregivers. We communicate with authenticity and humility, prioritizing honesty and directness while recognizing we always have something to learn. 

●      Embrace the opportunity. We are energized by the importance of our mission, and bias toward action.

Benefits for full-time employees

●      Remote-first design with work from home stipend

●      Competitive compensation with an annual bonus opportunity

●      401(k) with matching contribution from day 1

●      Medical, Dental and Vision coverage for you and your family

●      Life insurance and Disability

●      Generous sick leave and paid time off

●      Fast growth company with opportunities to progress in your career

Travel Expectations

●      This role would be expected to travel <10% to attend company gatherings, primarily in Chicago