Remote Ambulance Coder

Pafford Medical Services; Oklahoma City (OK); On-site; USD 45,000 - 60,000; Full time

Job summary

Pafford Medical Services in Oklahoma City is seeking an experienced Remote Ambulance Coder to review ambulance PCRs and translate clinical data into accurate billing codes.

This role requires knowledge of ICD-10-CM, HCPCS for ambulance services, and payer requirements across Medicare, Medicaid, and commercial payers. You will ensure compliance and support revenue cycle operations.

Collaborate with Coding Supervisor and Billing staff to maintain productivity while upholding high coding accuracy.

Qualifications

• Proficient in ICD-10-CM and HCPCS coding for ambulance services.
• Ability to interpret EMS PCRs and determine primary transport reason.
• Knowledge of Medicare/Medicaid/ commercial payer rules for ambulance coding.
• Strong attention to detail and accuracy under productivity benchmarks.

Responsibilities

• Review ambulance patient care reports for completeness and coding accuracy.
• Interpret EMS documentation to identify primary transport reason.
• Determine the appropriate level of service and assign ICD-10-CM codes.
• Assign HCPCS codes for ambulance services (BLS, ALS1/2, SCT).
• Apply Medicare/Medicaid and payer-specific ambulance rules.
• Ensure compliance with CMS, HIPAA, and regulatory requirements.
• Collaborate with billing and clinical teams to resolve coding issues.

Skills

Medical terminology

ICD-10-CM knowledge

HCPCS coding knowledge

EMS documentation interpretation

Analytical skills

Attention to detail

Education

Medical Coding Certification (CPC/ CCS/ CCS-P) preferred

Job description

Job Title: Remote Ambulance Coder Work Location: Pafford Medical Services, Inc. - Oklahoma City Division/Department: PMBS Reports To: Coding Supervisor

• Full-Time
• Nonexempt

The Ambulance Coder is responsible for reviewing ambulance patient care reports (PCRs) and accurately assigning diagnosis, procedure, level-of-service, and other required billing codes based on the clinical documentation provided. This position evaluates the patient's condition, services rendered, medical necessity, origin and destination, and transport circumstances to support accurate and compliant ambulance billing.

The Ambulance Coder applies Medicare, Medicaid, commercial payer, and other applicable regulatory requirements when determining the appropriate level of service and coding for ambulance transports.

Essential Duties And Responsibilities

• Review ambulance patient care reports and supporting medical documentation for completeness and coding accuracy.
• Interpret clinical documentation, including the patient's condition, symptoms, assessment findings, interventions, medications, monitoring, and response to treatment.
• Determine the appropriate ambulance level of service based on the patient's condition and documented services provided.
• Assign accurate ICD-10-CM diagnosis codes based on the condition chiefly responsible for the ambulance transport and other relevant documented conditions.
• Assign appropriate HCPCS ambulance codes, including BLS, ALS1, ALS2, Specialty Care Transport (SCT), and other applicable ambulance services.
• Apply appropriate ambulance modifiers based on the documented origin and destination.
• Review documentation to determine whether the transport meets applicable medical necessity requirements.
• Evaluate documentation supporting emergency and non-emergency ambulance transportation.
• Identify documentation deficiencies, inconsistencies, or missing information that may affect coding, medical necessity, or reimbursement.
• Refer documentation requiring clarification or additional review through the appropriate clinical or coding process.
• Validate mileage, supplies, procedures, medications, and other billable services when applicable.
• Apply Medicare, Medicaid, and payer-specific ambulance coverage and coding requirements.
• Maintain compliance with CMS regulations, HIPAA requirements, organizational policies, and applicable federal and state regulations.
• Remain current on changes to ICD-10-CM, HCPCS, Medicare ambulance regulations, payer policies, and industry coding guidance.
• Participate in coding audits, education, and quality-improvement activities.
• Meet established productivity and accuracy standards while maintaining coding quality and compliance.
• Work collaboratively with billing, clinical documentation, compliance, operations, and revenue cycle staff to resolve coding and documentation issues.

Minimum Qualifications

• Strong understanding of medical terminology, anatomy, physiology, disease processes, and emergency medical services.
• Knowledge of ICD-10-CM and HCPCS coding principles.
• Knowledge of ambulance levels of service, including BLS, ALS1, ALS2, and SCT.
• Ability to interpret EMS clinical documentation and identify the patient's primary reason for transport.
• Understanding of ambulance medical necessity and coverage requirements.
• Ability to distinguish between the services available, services performed, and services required by the patient's condition when determining the appropriate level of service.
• Strong analytical skills and attention to detail.
• Ability to recognize documentation that does not adequately support the level of service or medical necessity.