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Job Title: Remote Ambulance Coder Work Location: Pafford Medical Services, Inc. – Oklahoma City Division/Department: PMBS Reports To: Director of Pafford Medical Services Billing Full-Time Nonexempt Job Description: Responsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims. Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of care. Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in order to process third party claims and patient bills.
Job Responsibility
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
Requirements
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
Must be an EMT or Paramedic with 2 years of experience, or Must have at least 3 years of ambulance coding experience, or Must have at least 1 year of ambulance coding experience and be a Certified Ambulance Coder (CAC)
Must have access to high-speed internet
Must be able to travel to OKC for training for a minimum of two weeks and quarterly for staff education