Remote Ambulance Coder

Pafford Emergency Medical Services; Oklahoma City (OK); Remote; USD 40,000 - 70,000; Full time

Job summary

Join a forward-thinking company as a Remote Ambulance Coder, where your expertise in ICD-10 and HCPCS coding will be crucial for ensuring accurate billing processes. This role involves reviewing trip reports, validating charges, and ensuring compliance with Medicare, Medicaid, and HIPAA guidelines. You'll thrive in a collaborative environment, working independently while also contributing to a team focused on quality and efficiency. If you have a passion for medical billing and a knack for problem-solving, this position offers you the chance to make a significant impact in the healthcare revenue cycle. Embrace this opportunity to grow your career in a supportive and dynamic setting.

Qualifications

• Knowledge of ICD-10 and HCPCS codes for accurate billing.
• Ability to analyze and problem-solve complex issues effectively.

Responsibilities

• Responsible for charge validation and coding ambulance claims.
• Research information for accurate billing and timely claim submission.

Skills

ICD-10 coding

HCPCS coding

Medical terminology

Billing requirements knowledge

State and federal insurance regulations

Problem-solving skills

MS Word

MS Excel

Typing speed (35 wpm)

10 key proficiency

Education

High School Diploma or GED

Revenue cycle management experience

Job description

Job Title: Remote Ambulance Coder

Work Location: Pafford Medical Services, Inc. –

Division/Department: PMBS

Reports To: AVP Revenue Cycle-Oklahoma

Full-Time
Nonexempt

Job Description:

Responsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims.
Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of
care. Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in
order to process third party claims and patient bills.

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
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
Able to travel occasionally to Oklahoma City for training and education

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.