Pafford Medical Services ยท 5 months ago
Remote Ambulance Coder
Pafford Medical Services is a healthcare company specializing in ambulance services, and they are seeking a Remote Ambulance Coder to manage the coding and billing processes for ambulance claims. The role involves charge validation, assigning ICD-10 and HCPCS codes, and ensuring compliance with medical necessity and billing guidelines.
Hospital & Health Care
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
Qualification
Required
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
EMT or Paramedic with a minimum of 2 years of field experience, or
Minimum of 2 years of ambulance coding experience, or
Minimum of 1 year of ambulance coding experience and current certification as a Certified Ambulance Coder (CAC) or other recognized medical coding credential
Reliable access to high-speed internet
Ability to travel to Oklahoma City for an initial 2-week training period and quarterly for staff education sessions
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
Preferred
Preference given to candidates residing in the Central Time Zone