Coding Specialist

EMS Management & Consultants, Inc.; Clemmons (NC); On-site; USD 21,000 - 28,000; Full time

Benefits offered by this job

Discretionary bonus

Retirement plan

Health coverage

Paid time off

Job summary

EMS Management & Consultants, Inc. is hiring a Billing Specialist to maximize client reimbursement by accurately entering ambulance call reports (ACRs) into our billing software in line with client, company, and compliance standards.

You will process pending and rejected claims, provide feedback to Revenue Cycle Manager, and ensure timely client reporting while maintaining high levels of customer service and adherence to SLAs.

Qualifications

• High School Diploma or equivalent required.
• 1+ year healthcare office/clinical environment experience or equivalent.
• Ability to learn new software rapidly.
• Strong data entry accuracy and attention to detail.
• Knowledge of HIPAA, Medicare, Medicaid & insurance guidelines.

Responsibilities

• Enter data from ACRs into billing software per standards.
• Provide feedback to Revenue Cycle Manager on deficiencies/variances.
• Process pending and rejected claims accurately and promptly.
• Distribute front-end client reporting timely and accurately.
• Maintain strong internal customer service and cross-functional collaboration.

Skills

Data entry

Communication

Time management

Critical thinking

Adaptability

Education

High School Diploma

CPC certification (preferred)

Medical coding experience (2+ years)

Tools

EMS|MC billing software

Billing software

Job description

Job Summary

Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports (ACR's) in accordance with client, company, and compliance standards.

Description

Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports (ACR's) in accordance with client, company, and compliance standards.

Major Responsibilities/Activities

• Using various defined resources along with sound judgment and critical thinking, enter direct and interpreted data from ACR's into billing software, ensuring adherence to client, company, and compliance standards
• Provide proactive and routine feedback to Revenue Cycle Manager regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory
• Process all assigned pending and rejected claims in a timely and accurate manner
• Process and distribute all front-end client reporting in a timely and accurate manner
• Exhibit strong customer service skills to build and maintain internal relationships in order to best address client needs
• Meet or exceed contracted client SLAs concerning billing turn-around-times and compliance standards on a consistent basis
• Conduct all job tasks, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations
• Consistently support and demonstrate the company mission and values

Other Responsibilities/Activities

• Perform other necessary tasks as assigned
• Involvement in special projects or meetings as directed
• Provide backup assistance to other team Coding Specialists and Revenue Cycle Specialists as needed
• Provide backup assistance to Customer Service Department as needed

Requirements

Required Education, Skills, & Experience

• High School Diploma
• At least one-year experience in a healthcare office, production, or clinical environment or comparable classroom experience
• Strong comfort level learning new computer programs and software at a rapid pace
• Self-motivated, goal-oriented, and takes ownership of work
• Ability to effectively apply sound judgment and critical thinking in order to properly navigate through ambiguous scenarios
• Ability to learn, understand, and work within specific client requirements
• Ability to learn, understand, and apply applicable HIPAA, Medicare, Medicaid, insurance, and liability regulations/guidelines
• Willing and able to adapt to changes in work environment, procedures, priorities, and job duties
• Willing and able to receive positive and negative feedback and apply it to the work environment in an appropriate and effective manner
• Strong internal customer service skills
• Good verbal and written communication skills
• Positive interpersonal skills with the ability to function well within a cross-functional team setting and independently
• Detail-oriented with a strong desire for accuracy
• Must be able to manage time and maintain focus, concentration, and productivity while performing repetitive and sometimes mundane work
• Strong, accurate data entry skills

Performance Success Factors

• Maintain or exceed specified performance standards for each client, to include but not limited to Contracted Service Level Agreements, A/R Aging, Net Collection Percentages, and Average Cash per Trip

Preferred Education, Skills, & Experience

• CPC certification and/or 2+ years' experience in medical coding strongly preferred
• Prior EMS billing or EMS or healthcare revenue cycle experience
• Detailed knowledge of Medicare, Medicaid, insurance, and patient claims
• Prior data entry experience
• Proficient in EMS|MC billing software

Physical Environment

• General office environment
• Typing/entering data almost continuously
• Sitting for long periods of time, some standing, some light lifting
• Use of basic office equipment such as fax, printer, copier, telephone

Pay range: $15.00 - $20.00/hour. Individuals in this role are eligible to participate in a discretionary bonus plan and a comprehensive benefit package, including a retirement plan, health coverage, and paid time off. Visit https://emsmc.com/careers/ to explore our total rewards package.

Employees must be able to perform the essential functions of this position. Reasonable accommodations will be provided to qualified individuals with disabilities as needed to support their ability to perform these essential functions. If you require an accommodation for this position or to participate in the application process, please contact HR at [e-mail].

The responsibilities and duties outlined in this job description are not exhaustive and may be subject to change to meet the needs of the business. This job description is not an implied contract of employment and does not alter the at-will employment relationship.

There is no anticipated closing date for applications; The role will remain open until filled.

Applicants must be authorized to work in the United States now and in the future; this role does not offer current or future visa sponsorship.