Ambulance Coder and Biller - Remote

Remote Ambulance Coder and Biller

This is a remote position
Ensuring accurate and timely coding of medical claims for ambulance services. The primary goal of this position is to maintain precise coding practices and facilitate the smooth flow of cash by submitting clean claims promptly.
Job Responsibilities:
1. Review Patient Care Summaries (PCS) and Pre-Hospital Care Reports (PCRs) to extract essential medical history, diagnoses, and treatments provided. Code these details with the highest level of specificity.
2. Accurately select appropriate CPT, HCPC, modifier, and ICD-10 codes based on the patient's condition, procedures performed, and medical history, ensuring the most specific coding possible.
3. Engage with clients and payors when necessary to verify claim accuracy, resolve discrepancies, and ensure claims are appropriately coded for reimbursement.
4. Maintain open communication with the manager, reporting any concerns or issues that could impact coding accuracy or efficiency.
5. Uphold patient confidentiality and adhere to HIPAA guidelines in handling sensitive medical information.
6. Transmit accurately coded claims to the clearinghouse in a timely manner, ensuring the smooth progression of cash flow for our clients.
7. Stay informed about the latest updates in ICD-10, CPT, and HCPCS coding guidelines to ensure compliance and accurate coding.
8. Adhere to all legal requirements and regulations related to coding procedures and practices, safeguarding against potential compliance issues.
9. Regularly address rejected claims from the clearinghouse on a daily basis to facilitate timely resubmission and resolution.
10. Process claims and charts in alignment with industry and company best practices to maintain consistency and accuracy.
11. Keep updated on the latest Medicare, Medicaid, and private insurance guidelines to ensure coding conforms to payer requirements.
12. Additional Duties: Undertake other assigned tasks that contribute to the efficient functioning of the coding and billing process.
Qualifications:
1. Possess a Certified Ambulance Coder (CAC) certification or become CAC certified after 90 days of start date.
2. Have a minimum of 2 years of experience in ambulance and/or medical coding.
3. Exhibit excellent typing skills and 10-key accuracy to efficiently input coding data.
4. Experience working with a clearinghouse.
5. Exhibit a commitment to providing high levels of customer service.
6. Possess a working knowledge of medical terminology, jargon, and anatomy to understand and accurately code medical records.
7. Display good analytical skills to decipher complex medical records and assign appropriate codes.
8. Ability to pay attention to detail.
9. Have a working knowledge of Microsoft Office applications to facilitate data management and reporting.
10. Be capable of working independently, managing tasks, and meeting deadlines with minimal supervision.