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Responsible for appropriate and accurate coding of ambulance claims for submission to appropriate payer to appropriate and timely reimbursement of ambulance services. Ambulance Billing Coder converts patient’s information into standardized codes which are used on documentation for healthcare insurance claims and for databases. Medical coders assist in the reimbursement of ambulance claims from healthcare insurance companies.
Job Responsibility:
Entering Patient Health Information into the TriTech system from the ZOLL Web PCR
Assigns appropriate ICD-10 codes based on the information documented in the patient care report
Assign the appropriate level of ambulance based on the CAD report
Assign appropriate charges for services supported by the patient care report
Review documentation to determine medical necessity of the ambulance transport and enter appropriate billing narrative to each claim
Ensure that all necessary documents are present before submitting a claim for reimbursement
Ensure that each account is billed to the correct payer and billing schedule
Performing other duties as assigned
Requirements:
Proficient with a PC
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Knowledge of Medical Billing
Ability to work independently and with a group
Working knowledge of MS Word, Excel
Ability to maintain effective working relationships
Thorough knowledge of office practices
Ability to type at least 35 words per minute
Proficiency using 10 key
High School Diploma or GED
Minimum of one year revenue
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
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