Responsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims. Reviews ambulance trip reports to determine medical necessity and assign the appropriate level of care. Supports the accurate submission of all ambulance transports to process third-party claims and patient bills.
Key responsibilities include:
- Research information needed to complete accurate billing processes, including assignment of billing charge codes and ICD-10 diagnosis codes
- Prioritize workflow to ensure timely claim submission
- Follow state and federal insurance regulations
- Analyze and problem-solve complex issues
- Apply billing requirements, coverage, and benefits knowledge
- Uphold Medicare, Medicaid, and HIPAA guidelines
- Identify and communicate documentation issue trends
- Report quality and documentation issues to department leadership
Requirements & Qualifications
Qualifications and experience:
- Knowledge of procedure and diagnostic codes, including HCPCS and ICD-10
- Knowledge of medical terminology
- Experience with medical billing processes
- Ability to work independently and collaboratively
- Working knowledge of MS Word and Excel
- Ability to maintain effective working relationships
- Ability to type at least 35 words per minute
- Proficiency using 10-key
Education and experience requirements:
- EMT or Paramedic with a minimum of 2 years of field experience, or
- Minimum of 2 years of ambulance coding experience, or
- Minimum of 1 year of ambulance coding experience and current certification as a Certified Ambulance Coder (CAC) or other recognized medical coding credential
Other requirements:
- Reliable access to high-speed internet
- Ability to travel to Oklahoma City for an initial 2-week training period and quarterly staff education sessions
- Preference for candidates residing in the Central Time Zone
Physical requirements:
- Ability to perform essential job functions consistent with ADA, FMLA, and other applicable standards
- Ability to maintain regular and punctual attendance
- Ability to lift and/or move up to 20 pounds occasionally
- Ability to work in positions involving sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, and reaching
- Ability to talk, listen, and speak clearly on the telephone
- Visual acuity to prepare and analyze data, operate a computer terminal, and operate a motor vehicle
Location
Oklahoma City, Oklahoma, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
9 months ago
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