Medical Billing and Coding Specialist - Digitech - Remote

Tri-anim Health Services, Inc.; Northern (KY); Hybrid; USD 34,000 - 48,000; Full time

Benefits offered by this job

401(k) Plan

Competitive salary

Job summary

Digitech is seeking a Billing Specialist I to review PCRs, ensure medical necessity and correct ICD10 coding, and maintain billing accuracy across payor types. This role supports the revenue cycle by timely and compliant submission of claims.

Responsibilities include data entry, documentation, and information gathering from clients to submit third-party claims, while adhering to privacy policies and productivity standards in a remote work environment.

Qualifications

• Education: High School Diploma or equivalent.
• 1–2 years of medical billing preferred.
• CAC certification preferred.
• Willing to attain QMC Biller Certification upon employment.
• Typing 35 wpm and basic computer skills.
• Customer service oriented with attention to detail.
• Ability to work in a remote environment.

Responsibilities

• Review patient medical records and supporting documentation.
• Add required data elements to the account: ICD-9 codes, charges, and billing narratives.
• Ensure tasks comply with Quick Med Claims policies and state/federal guidelines.
• Meet or exceed defined productivity standards for the position.
• Notate accounts reviewed and attach documentation in the system.
• Obtain additional information from clients (HIPAA forms, pre-authorizations) needed to submit third-party claims.
• Review billing documents and validate claims electronically or on paper.
• Monitor workflows to ensure timely validation of claims.
• Process all insurance claim forms in accordance with laws and procedures.
• Provide accurate billing in compliance with regulatory requirements and internal policies.
• Demonstrate biller competency by achieving billing accuracy in QA and audits.
• Adhere to HIPAA privacy policies and protect patient information.

Skills

Medical billing

Data entry 35 wpm

HIPAA compliance

Customer service

Attention to detail

Remote work

Education

High School Diploma

Tools

Billing platform

Job description

The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners.

Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.

Summary:

The Billing Specialist I will utilize master billing guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct. This role is fundamental in Digitech's revenue cycle management process and ensures that claims are coded and billed accurately and timely. The selected Billing Specialist I will maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.

Essential Duties and Responsibilities:

• Review patient medical records and supporting documentation
• Add required data elements to the account in the billing platform, including ICD-9 codes, charges, and billing narratives
• Ensure all tasks are completed in accordance with Quick Med Claims policies as well as state and federal guidelines
• Meet or exceed defined productivity standards for the position
• Properly notate accounts reviewed
• Attach necessary documentation within the system or to paper 1500s
• Obtain additional information from clients when needed, such as HIPAA forms, pre-authorizations from insurance companies, and physician medical necessity forms, in order to submit third-party claims
• Review billing documents in the billing platform using dates provided on patient care reports, physician medical necessity forms, and hospital face sheets
• Review and validate claims electronically or on paper
• Monitor tags or workflows to ensure timely validation of claims
• Process all insurance claim forms in accordance with federal and state laws as well as departmental procedures
• Provide accurate billing in compliance with regulatory requirements and internal policies and procedures
• Demonstrate biller competency by achieving and maintaining billing accuracy scores that meet or exceed expectations during quality assurance and audit activities
• Adhere to all Digitech HIPAA privacy policies and procedures. This includes alwaysmaintainingthe confidentiality and security of sensitive patient information
• Additional job duties as assigned

Skills/Experience Required:

• Education: High School Diploma or equivalent
• 1 – 2 years of Medical billing preferred
• Certified Ambulance Coder (CAC) preferred
• Demonstrated ability or willingness to attain QMC Biller Certification upon employment
• Must be able to type 35 wpm
• Basic computer skills including ability to utilize multiple windows and programs simultaneously
• Customer service oriented
• Attention to detail and focus on quality
• Organizational skills
• Must display sufficient written and oral communication skills
• Must have the ability to work in a fast-paced environment
• Must have the ability to work with minimal supervision
• Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled.

Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.

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