Job Description

Job Title: Medical Records Specialist

Job Function: The Medical Records Specialist is responsible for supporting internal processes of Casentric. The Medical Records Specialist will:

• Organize, index and annotate medical records, police reports, photos, and other documentation related to bodily injury claims for Casentric analysts and customers
• Review medical bills and reprice charges to reflect reasonable compensation levels
• Determine whether services billed were related to injuries claimed or were properly documented
• Use Casentric’s proprietary software to complete basic setup of new cases

Location: The position is remote. Preference may be given to candidates who reside in the Cleveland/Northeast Ohio area, however, candidates may be hired from other states within the domestic U.S., depending on experience, qualifications and applicable state requirements.

Date: November 30, 2022

About Casentric: Casentric is a Cleveland, Ohio-based company that helps property and casualty insurance companies more accurately evaluate bodily injury claims that are brought against their policyholders and negotiate better financial settlements on their behalf with injured claimants and their representatives. We’ve been around since 2010 and provide medical document review and analysis of bodily injury claims for our customers. We’re interested in hiring a medical review analyst. If you think that you’ve got the right skills and experience for this position, we’d love to hear from you!

Position Summary: The Medical Records Specialist is responsible for supporting work performed by Casentric on behalf of its clients. The Medical Records Specialist will be responsible for reviewing, annotating and analyzing medical records and related documentation that we receive from our clients. The Medical Records Specialist will:

• Review, identify and organize documents
• Mark and annotate records for identification of significant information
• Compare the cost of services rendered to amounts typically paid for these services
• Set up cases in Casentric’s proprietary software application for use by Casentric analysts
• Work with other Casentric team members to ensure proper documentation and transfer of information to Casentric analysts

Essential Job Functions

• 80%—Review, identify, organize, index, and mark documents related to injury claims. Reprice submitted medical services to reasonable, supported compensation levels. Set up cases in Casentric’s proprietary software. Apply procedures to ensure consistency, completeness and quality of work.
• 10%—Collaborate with Casentric staff to ensure that work product is complete and correct and meets Casentric’s standards. Respond to follow up questions or requests.
• 10%—Other duties as assigned.

Physical Demands/Working Conditions/Other Requirements

• This is a remote work position
• Applicants must have a quiet office/work space that is physically separate and can be physically secured (e.g., locked) to protect and maintain confidentiality of sensitive information (all documentation is accessed and viewed on-screen only)
• Training is provided remotely, with heavy concentration during the first 30 days and on-going thereafter
• No travel is required
• Computer equipment necessary to perform the position is provided by Casentric

Required Qualifications

• Medical billing, coding or analyst experience
• Demonstrated experience with and knowledge of medical documentation
• Ability to read and understand injury diagnoses, treatment types (medical, chiropractor, physical therapy, etc.), SOAP notes, and treatment assessments.
• Strong reading and written and oral communication skills
• Strong computer skills, including proficiency with Microsoft Office and Excel.
• Proficiency, facility and comfort with using computers, software applications, including Microsoft Excel and Word, and problem-solving minor technical issues
• Ability to work remotely, independently

Knowledge, Skills, Abilities and Personal Characteristics

• Ability to read technical documentation
• Experience identifying and reading medical records
• Passion for connecting pieces of information together and assessing consistency
• Strong attention to detail
• Process-oriented
• Intellectually curious and analytical
• A self-starter and problem-solver
• Collaborative/team player
• Organized and able to multitask
• Adaptable/flexible personality
• Comfortable/facile with computers and software

Casentric provides training on the software applications we use, as well as the proprietary methodology we apply for reviewing, analyzing and documenting findings from medical records and other documentation.

Casentric’s Core Values and Key Cultural Behaviors

• >Innovative*

• We take a fresh approach to a well-established industry
• We bring critical new thinking to the evaluation and resolution of bodily injury claims

• >Professional*

• We possess deep domain knowledge of bodily injury claims, standards of care, documentation requirements, reasonable costs of diagnosis and treatment, proper use of billing codes, and the property and casualty industry’s customary approach to injury claims
• We are transparent with our customers and readily share our knowledge and perspectives to help them improve their performance
• We deliver unmatched case reports and exceed client expectations

• >Entrepreneurial*

• We understand the issues faced by our customers and offer solutions tailored to meet their realities
• We continually iterate to improve our products and services to better serve our customers’ needs
• We take good ideas from anywhere to supplement our own

• >Customer-Focused*

• We listen to our customers to achieve our long-term mission
• We deliver innovative, on-time solutions that address our clients' problems
• We deliver on our commitments

• >Team*

• We’re accountable to each other
• Treat one another with respect

The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. The requirements listed above are representative of the minimum knowledge, skill, and/or ability required. To perform this job successfully, an individual must be able to satisfactorily perform the essential functions of the job according to specific company requirements. Reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions.

Job Type: Full-time

Pay: $15.00-17.50 per hour, depending on experience.

COVID-19 Considerations: All employees work remotely. Staff meetings and training are conducted via video/audio conference calls.

Application Questions

Candidates are asked to provide responses to the following questions:

• How many years of medical bill coding and/or medical record experience do you have?
• What is the highest level of education that you have completed?
• Are you authorized to work in the United States?
• Are you willing to undergo a background check?

Job Type: Full-time

Pay: $15.00 - $17.50 per hour

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

COVID-19 considerations:
All employees work remotely. Staff meetings and training are conducted via video/audio conference calls.

Education:

• High school or equivalent (Preferred)

Work Location: Remote

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