CAC - Certified Ambulance Coder

ZOLL Medical Corporation; United States; Remote; Full time

Job summary

ZOLL Medical Corporation is seeking a detail-oriented individual for a billing position focused on verifying transport and patient data. The role involves ensuring compliance with payer claims specifications and requires 2-5 years of medical billing experience. Join a fast-growing company dedicated to improving patient outcomes worldwide.

Qualifications

• Experience in medical billing and claim submission required.
• Ability to work in a fast-paced environment.
• Strong attention to detail and accuracy in data entry.

Responsibilities

• Verify transport and patient data for billing accuracy.
• Perform demographic and medical coverage verification.
• Assign diagnosis codes and initiate insurance billing transactions.

Skills

Detail oriented

Data entry

Communication

Education

2-5 years of experience with medical billing

Job description

Acute Care Technology

At ZOLL, we're passionate about improving patient outcomes and helping save lives.

We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.

ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver more—from better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement.

Job Summary:

This position is geared toward verification of transport and patient data as well as compliant coding and billing with appropriate payer claims specifications and accompanying documentation. This position performs demographic and medical coverage verification, identifies transport call, response and mission type disparities and reviews for appropriate vehicle type, pickup, drop off locations, mileage, and transport dates, and assigns the appropriate Level of Service and Diagnosis Codes to all ambulance claims. The position is responsible for document retrieval and professional communication with Customers, Call Centers and facility Patient Financial Services Staff. Applicant must have 2-5 years of experience with medical billing and claim submission. This position requires a candidate that is highly detail oriented, able work in a fast-paced environment with high volume, accurate data entry.

Essential Functions:

1) Verify accurate data completion by Communication/Dispatch Specialists and Medical Clinicians, in accordance with established processes. Details to include patient locations, loaded mileage and patient demographics.
2) Thoroughly and appropriately document all activities in patient account notes in accordance with established processes.
3) Retrieve, retain and interpret Federal and Industry Standard Signature Documents, ensuring uniformed and compliant billing practices and clean claim submission.
4) Perform data entry of patient demographic information and charges, within billing software, as appropriate for claims submission and financial reporting.
5) Perform in-depth sponsor review investigations to identify, collect, and confirm third party liability and coordination of benefits insurance coverage.
6) Interact on an as needed basis, with leadership, customers, crew members, law enforcement agencies, insurance companies, patients and hospital patient information systems to collect additional patient and payer demographic information.
7) Performs ‘Medicare as a Secondary Payor (MSP)’ review, coordination of benefits and generate invoices to patients as needed.
8) Apply the appropriate level of service for the transport provided using the Customer Scope of Practice.
9) Assign the most accurate diagnosis codes from the crew documentation ensuring highest level of specificity and considering payor guidelines or local coverage determination requirements.
10) Assign modifiers appropriate to the locations for the transport as well as any payor required modifiers.
11) Initiate insurance billing transactions; transmit electronically and/or prepare claims packets for payers in accordance with payer specific claim requirements.
12) Screens for clean claims submission pursuant to payer specific guidelines, and billing form requirements.
13) May assist with billing/collection tasks as assigned.
14) Required to act as back-up support in the performance of client financial liaison duties
15) Other responsibilities as assigned.

DIMENSIONS:
1. Ability to work independently and demonstrate consistent customer focus
2. Ability to analyze and make good billing/collections decisions keeping in mind the goals and objectives of the department
3. Recognize the entire scope of an issue and participate objectively towards resolution with other team members.
4. Maintains professional personal appearance.
5. Ability to verbally communicate details and understand parameters of job responsibilities to perform in a Hospital Systems setting.
6. Initiative required learning company organization and procedures.
7. Is a team player and interfaces well with employees.
8. Display competency, business professionalism, patient advocacy in all communications both (verbal and written) and interpersonal relations.
9. Ability to provide written communication using best business practices when composing letters, memorandums, and e-mails regardless if the communication is inside the Company or with customers, clients, or providers.
10. Must maintain the highest professional and ethical standards in conducting day-to-day business. Adheres to all Company HIPAA compliance regulations, business and professional ethics, and confidentiality and privacy regulations as outlined in the Corporate Code of Conduct, the Employee Handbook, and the PFS Department policies and procedures.
11. Requires an in depth understand of compliance, regulatory oversight bodies and payer requirements.
12. Represents the company in a positive, customer friendly attitude to other employees, clients, agencies, entities and patients.
13. No supervisory or budget responsibilities.
14. Focus on continuous improvement, learning, accountability, and teamwork

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

The hourly rate for this position can range from $24 to $27. The actual compensation may vary outside of this range depending on geographic location, work experience, education, and skill level.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.