Remote Ambulance Coder
: Job Details :

Job Title: Remote Ambulance CoderWork Location: Pafford Medical Services, Inc. - Division/Department: PMBSReports To: AVP Revenue Cycle-Oklahoma•Full-Time NonexemptJob 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 ofcare. Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports inorder to process third party claims and patient bills.Essential Duties and 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 headQualifications:•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 keyEducation and Experience Requirements:•High School Diploma or GED•Minimum of one year revenue cycle management experience preferredOther Requirements:•Must have access to high-speed internet•Able to travel occasionally to Oklahoma City for training and educationPhysical Requirements:•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.Travel Time: NegligibleNOTE: The above statements are intended to describe the general nature and level of work being performed by theperson assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills andphysical demands required of personnel so classified.