Ambulance Coder Remote

Pafford Emergency Medical Services; Oklahoma City (OK); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Billing Specialist to join their remote team. This role involves managing billing processes, ensuring compliance with Medicare, Medicaid, and HIPAA guidelines, and effectively communicating with insurance companies and patients. As a key player, you will analyze complex issues, prioritize workflows, and maintain accurate data in the practice management system. If you have a passion for healthcare billing and a knack for problem-solving, this opportunity offers a rewarding career path with the flexibility of remote work while making a significant impact in the medical services sector.

Qualifications

• Knowledge of HCPCS and ICD-10 codes is essential.
• Must have experience in revenue cycle management.

Responsibilities

• Ensure accurate billing processes and timely claim submission.
• Communicate with patients and insurance companies for information.

Skills

Billing processes knowledge

Problem-solving

Knowledge of insurance regulations

Medical terminology

Typing speed (35 wpm)

Ability to work independently

Effective communication

Education

High School Diploma or GED

Revenue cycle management experience

Tools

MS Word

MS Excel

Practice management system

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
• 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.