EMS Medical Coder 3.3 3.3 out of 5 stars Texas • Remote

POSITION SUMMARY

The Coding Representative is responsible for the accurate and timely billing of ambulance transports, while maintaining the minimum quality and productivity standards set. The incumbent is expected to determine diagnosis and levels of service based on information provided on the Patient Care Report (PCR) and to accurately bill, using the appropriate codes.

Essential Duties and Responsibilities:

Assign appropriate modifiers, based on origin and destination of trip Review, modify as necessary, and bill claims in "queue" Correct "Electronic Claim Transmission" (ECT) reports as necessary Review and/or determine the appropriate primary source of payment as necessary Determine the Level of Service to be billed, based on supporting documentation on the PCR Assign proper condition codes/ICD-10 codes/procedure codes into the Accounts Receivable Billing System Answer billing phone line, monitor voice mail, and assist staff and patients with questions Monitor, troubleshoot, and suggest system improvements related to Practice Management system and clearinghouse software. Review and update

CPT & ICD

codes and encounter forms as needed Maintains currency in effective billing and collection processes and procedures Ensure accurate and timely processing of all third party insurance, Medicaid, Private Pay, including special programs. Responsible for the timely and accurate submission of insurance/Medicaid for completed patient services. May submit electronically, by paper or other external third party systems. Maintain up-to-date knowledge of regulations and laws related to the insurance industry. Maintain insurance manuals and update and notify patient accounting office staff of any changes in any insurers' rules and regulations. Demonstrate HIPAA compliance and patient rights' while providing outstanding customer service in person, by mail or on the phone. Assists in delinquent account review Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines. And various other duties or tasks as assigned and/or needed

Knowledge, Skills and Abilities:

Must be well versed in daily operations as it pertains to the ambulance industry and operational strategies. Reading skills to comprehend correspondence and materials specific to the healthcare industry. Often this material includes technical EMS material, medical terminology, memos, manuals, and other documents. Writing skills to compose complex correspondence or reports with minimal direction provided. Excellent interpersonal skills to give directives and provide information in a professional manner. Often handles financial material requiring significant discretion. Must demonstrate ability to maintain security and confidentiality with utmost discretion. Must be able to deliver professional correspondence in a timely and efficient manner. Computer literate with extensive experience in the operation of personal computers and Management Information Software including programs such as data base management, word processing and spreadsheets, Medi-Soft, ESO (MAC, PC or compatible). Self-motivated, well organized, capable of working closely with others. Ability to perform a variety of tasks, often changing assignments on short notice. While this position usually required working weekdays, must be able to work flexible hours if needed.

Education and Experience:

Must have recent job experience in medical coding and insurance verifications Minimum of 2 years of medical coding experience, ambulance coding preferred High school diploma or general education degree (GED) preferred. Certified Medical Coder Certificate is a

PLUS Job Type:

Full-time Job Type:

Full-time Pay:

$20.00 - $22.00 per hour

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

Monday to

Friday Work Location:

Remote