Ambulance Coder Remote

Pafford Emergency Medical Services; Remote; USD 30,000 - 45,000; Full time

Job summary

A leading emergency medical services provider is looking for a Billing Specialist to manage the billing process and ensure compliance with Medicare, Medicaid, and HIPAA guidelines. This remote position requires knowledge of procedure and diagnostic coding, and the ability to analyze complex issues. The ideal candidate will possess strong communication skills and a background in revenue cycle management.

Qualifications

• Knowledge of Medicare, Medicaid, and HIPAA guidelines essential.
• Must work independently and in a group setting.
• Experience in revenue cycle management preferred.

Responsibilities

• Researches billing processes, ensures timely claim submission.
• Communicates with patients and hospitals to gather insurance information.
• Validates patient demographics and enters data accurately into the system.

Skills

Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)

Knowledge of medical terminology

Ability to analyze and problem solve complex issues

Knowledge of billing requirements, coverage and benefits

Ability to type at least 35 words per minute

Proficiency using 10 key

Ability to maintain effective working relationships

Education

High School Diploma or GED

Minimum of one year revenue cycle management experience

Tools

MS Word

Excel

Job description

Essential Duties and Responsibilities:

• Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes
• Prioritize workflow to ensure timely claim submission
• Knowledge of state and federal insurance regulations
• Ability to analyze and problem solve complex issues
• Knowledge of billing requirements, coverage and benefits
• Uphold Medicare, Medicaid and HIPAA guidelines
• Identifies and communicates documentation issue trends
• Utilize various resources to locate insurance payers for ambulance transportation
• Contact the hospital, patient’s family, and/or patient to obtain insurance information
• Fax partner hospitals requests for information
• Validate and update patient demographics in the practice management system
• Responsible for the accurate entry of data into the practice management system
• This position requires specialist to spend extended periods of time on the phone with insurance companies
• Reports quality and documentation issues to the department head

Qualifications:

• Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
• Knowledge of medical terminology
• Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes
• Prioritize workflow to ensure timely claim submission
• Knowledge of state and federal insurance regulations
• Ability to analyze and problem solve complex issues
• Knowledge of billing requirements, coverage and benefits
• Uphold Medicare, Medicaid and HIPAA guidelines
• Identifies and communicates documentation issue trends
• Reports quality and documentation issues to the department head
• Knowledge of Medical Billing
• Ability to work independently and with a group
• Working knowledge of MS Word, Excel
• Ability to maintain effective working relationships.
• Ability to type at least 35 words per minute.
• Proficiency using 10 key

Education and Experience Requirements:

• High School Diploma or GED
• Minimum of one year revenue cycle management experience preferred

Other Requirements:

• Must have access to high-speed internet
• Position is remote, but must be within 100 miles of OKC or Tulsa Oklahoma

Physical Requirements:

• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
• The employee may occasionally be required to lift and/or move up to 20 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
• Must be able to talk, listen and speak clearly on telephone.
• Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Travel Time: Negligible

NOTE: The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.