Coding Specialist

About the Role

Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports (ACRs) in accordance with client, company, and compliance standards.

Responsibilities

• Using various defined resources along with sound judgment and critical thinking, enter direct and interpreted data from ACRs into billing software, ensuring adherence to client, company, and compliance standards.
• Provide proactive and routine feedback to Revenue Cycle Manager regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory.
• Process all assigned pending and rejected claims in a timely and accurate manner.
• Process and distribute all front-end client reporting in a timely and accurate manner.
• Exhibit strong customer service skills to build and maintain internal relationships in order to best address client needs.
• Meet or exceed contracted client SLAs concerning billing turn-around-times and compliance standards on a consistent basis.
• Conduct all job tasks, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations.
• Consistently support and demonstrate the company mission and values.
• Perform other necessary tasks as assigned.
• Involvement in special projects or meetings as directed.
• Provide backup assistance to other team Coding Specialists and Revenue Cycle Specialists as needed.
• Provide backup assistance to Customer Service Department as needed.

Requirements

• High School Diploma.
• At least one-year experience in a healthcare office, production, or clinical environment or comparable classroom experience.
• Strong comfort level learning new computer programs and software at a rapid pace.
• Self-motivated, goal-oriented, and takes ownership of work.
• Ability to effectively apply sound judgment and critical thinking in order to properly navigate through ambiguous scenarios.
• Ability to learn, understand, and work within specific client requirements.
• Ability to learn, understand, and apply applicable HIPAA, Medicare, Medicaid, insurance, and liability regulations/guidelines.
• Willing and able to adapt to changes in work environment, procedures, priorities, and job duties.
• Willing and able to receive positive and negative feedback and apply it to the work environment in an appropriate and effective manner.
• Strong internal customer service skills.
• Good verbal and written communication skills.
• Positive interpersonal skills with the ability to function well within a cross-functional team setting and independently.
• Detail-oriented with a strong desire for accuracy.
• Must be able to manage time and maintain focus, concentration, and productivity while performing repetitive and sometimes mundane work.
• Strong, accurate data entry skills.

Preferred Qualifications

• CPC certification and/or 2+ years’ experience in medical coding strongly preferred.
• Prior EMS billing or EMS or healthcare revenue cycle experience.
• Detailed knowledge of Medicare, Medicaid, insurance, and patient claims.
• Prior data entry experience.
• Proficient in EMS|MC billing software.

Performance Success Factors

• Maintain or exceed specified performance standards for each client, to include but not limited to Contracted Service Level Agreements, A/R Aging, Net Collection Percentages, and Average Cash per Trip.

Physical Environment

• General office environment.
• Typing/entering data almost continuously.
• Sitting for long periods of time, some standing, some light lifting.
• Use of basic office equipment such as fax, printer, copier, telephone.

Pay

Pay range: $15.00 - $20.00/hour. Individuals in this role are eligible to participate in a discretionary bonus plan.

Benefits

• Comprehensive benefit package, including a retirement plan, health coverage, and paid time off.

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