Case Manager – Medical Document & Data Specialist

Case Manager – Medical Document & Data Specialist

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 role offers a unique opportunity to develop deep expertise at the intersection of medical billing, coding, and litigation support. As a Case Manager at AccuMed, you will play a pivotal part in delivering transparent, data‑driven valuations of medical damages that help legal professionals make informed case decisions. If you excel in complex analytical work and take pride in bringing structure and clarity to disorder, you will thrive here.

The environment is high‑volume and fast‑paced, requiring sharp analytical judgment, strong organizational discipline, and the ability to distill reliable, cohesive work product from complex and often fragmented source material. In this position, you will serve not only as an analytical expert but also as a strategic partner to attorneys, paralegals, and expert witnesses throughout the full lifecycle of each case.

About This Work

Professionals coming from traditional medical billing or coding roles will find aspects of this work familiar, while others will require a shift in mindset.

In most provider environments, coders work within a single provider setting, assigning codes to forward‑looking claims for submission to payers. They benefit from direct access to the provider for questions, the ability to audit documentation in real time, and payer‑specific reimbursement guidance. None of those conditions exist in this role.

At AccuMed, Case Managers analyze documentation that may be months or years removed from the date of service. There is no provider to query, no opportunity to request additional records, and no payer framework to rely on. All analysis is performed strictly on the records as received. Our coding methodology is narrowly tailored, independent of reimbursement rules, and focused solely on establishing the reasonable value of care. Candidates whose instincts are rooted in reimbursement‑driven coding will need to set those conventions aside and adopt a different analytical framework.

The records themselves introduce additional complexity. Documentation often arrives unstructured, out of sequence, and with duplicates that must be retained. A substantial portion of this role involves organizing that raw material before any coding or valuation work can begin. Individuals who find satisfaction in creating order from disorder—and who enjoy the intellectual challenge of structuring messy inputs—will excel here. Those who rely on clean, pre‑organized documentation may find this environment difficult.

This is a high‑volume, fast‑turnaround role. Strong performers are organized, self‑directed, and able to move quickly without compromising accuracy or defensibility. For those well‑suited to the work, the reward is a role with significant analytical depth, meaningful client impact, and a career path in a specialized field where true expertise is rare and highly valued.

Responsibilities

• Receive and analyze high volumes of unstructured medical and billing records, organizing and categorizing complex document sets into a coherent, review-ready structure while preserving all original materials, including duplicates.
• Identify gaps, inconsistencies, and missing elements within unorganized record sets and determine the appropriate actions needed to address them.
• 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.

Qualifications & Skill Sets

• 2 to 4 years of relevant experience in medical billing, coding, revenue cycle, or a closely related field.
• Demonstrated capability to organize and structure disorganized, high‑volume, or incomplete documentation with precision and consistency.
• Strong document‑management acumen, including the ability to identify missing elements and determine the appropriate placement of all materials within complex record sets.
• Ability to apply coding guidelines in a retrospective, closed‑record environment, operating without the 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

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

Culture & Work Environment

AccuMed’s culture is grounded in four core values: humility, honor, positivity, and engagement. These are not aspirational statements—they are integral to how decisions are made, how team members interact, and how the organization operates each day. The team genuinely enjoys working together, collaborates openly, and takes pride in supporting one another, especially during high‑demand periods.

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 who are energized by working alongside colleagues who take their work seriously and value one another even more—will find a strong sense of belonging here.