Mecklenburg EMS Agency (Medic) · 6 days ago
Revenue Cycle Associate - Coder
Charlotte, NC
Full-time
Onsite
New Grad, Entry Level
$23.23/hr - $23.23/hrMecklenburg EMS Agency (Medic) is seeking a Revenue Cycle Associate - Coder to manage the coding and billing processes for healthcare services. The role involves analyzing patient charts, applying standardized codes, and ensuring compliance with billing regulations while providing quality customer service to patients.
Emergency MedicineHealth CareHospital
Responsibilities
Strong understanding of medical terminology, and anatomy with the ability to analyze patient charts and other documentation to translate into standardized codes
Required knowledge with the ability to apply correct codes such as ICD10, CPT, HCPCS, modifiers and other relevant coding systems requirements
Knowledge of insurance claim forms (HCFA, UB) coding and billing requirements
Attention to detail with the ability to verify codes are correctly assigned and supported by medical documentation
Clarify ambiguous or vague documentation with appropriate staff members to ensure compliant billing
Ability to manage assigned work queues to achieve department production standards
Responsible for updating patient accounting systems with codes, charges, insurance and patient demographics
Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc
Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information
Demonstrate and be proficient with general accepted accounting principles and methods, with the ability to apply understanding and application
Basic analytical skills with the ability to apply logical decision-making skills to resolve claims or barriers impacting work product
Ability to demonstrate proficiency with basic office automation technologies including internet, payor web applications or portals, and Microsoft Office applications
Ability to demonstrate proficient use with various patient accounting billing software(s), medical records systems, and payment portals
Ability to generate assigned reports and apply task specific knowledge to resolve claims with limited oversight
Ensures quality customer service is provided to all patients, including but not limited to: taking inbound patient phone calls, properly verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in timely fashion
Ensures the accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation
Meets established quality and productivity standards
Stays current on ambulance coding and regulatory billing guidelines
Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws
Maintains confidentiality of information as assigned and abides by all applicable laws, and the corporate compliance program
Demonstrates continuous effort to improve operations, streamline work process and work cooperatively and jointly to provide quality and seamless customer service
Maintains positive working relationships with internal and external customers
Knowledge of ambulance medical billing and procedures
Qualification
Required
Strong understanding of medical terminology, and anatomy with the ability to analyze patient charts and other documentation to translate into standardized codes
Required knowledge with the ability to apply correct codes such as ICD10, CPT, HCPCS, modifiers and other relevant coding systems requirements
Knowledge of insurance claim forms (HCFA, UB) coding and billing requirements
Attention to detail with the ability to verify codes are correctly assigned and supported by medical documentation
Clarify ambiguous or vague documentation with appropriate staff members to ensure compliant billing
Ability to manage assigned work queues to achieve department production standards
Responsible for updating patient accounting systems with codes, charges, insurance and patient demographics
Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc
Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information
Demonstrate and be proficient with general accepted accounting principles and methods, with the ability to apply understanding and application
Basic analytical skills with the ability to apply logical decision-making skills to resolve claims or barriers impacting work product
Ability to demonstrate proficiency with basic office automation technologies including internet, payor web applications or portals, and Microsoft Office applications
Ability to demonstrate proficient use with various patient accounting billing software(s), medical records systems, and payment portals
Ability to generate assigned reports and apply task specific knowledge to resolve claims with limited oversight
Ensures quality customer service is provided to all patients, including but not limited to: taking inbound patient phone calls, properly verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in timely fashion
Ensures the accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation
Meets established quality and productivity standards
Stays current on ambulance coding and regulatory billing guidelines
Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws
Maintains confidentiality of information as assigned and abides by all applicable laws, and the corporate compliance program
Demonstrates continuous effort to improve operations, streamline work process and work cooperatively and jointly to provide quality and seamless customer service
Maintains positive working relationships with internal and external customers
Knowledge of ambulance medical billing and procedures
High School Diploma or equivalent required
Excellent verbal communication skills
Demonstrated ability in the use of Microsoft products
Demonstrated ability to use computer, internet, web applications
Ability to perceive and distinguish emotions during interactions with people via telephone or in person, and respond professionally, with compassionate care
Maintain acceptable attendance and adhere to scheduled work hours
Ability to work within a team-oriented, fast-paced, customer-focused environment
Ability to apply on demand problem solving skills
Preferred
Associate degree preferred
Experience in healthcare revenue cycle process preferred
Certified Ambulance Coder (initial certification only) preferred
Certified Professional Coder (CPC-AAPC) preferred
Certified Professional Biller (CPB-AAPC) preferred
Company
Mecklenburg EMS Agency (Medic)
Medic (also known as Mecklenburg EMS Agency) has served Mecklenburg County since 1978 and is one of the largest EMS agencies in North Carolina responding to over 150K 911 calls every year.
Founded in 1978
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Scott Wilson
Paramedic Crew Chief, Special Operations Paramedic, Relief Ops Supervisor, Field Training Officer
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