Job Description: Coding Specialist
Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports
(ACR’s) in accordance with client, company, and compliance standards.
Roles and Responsibilities
• Using various defined resources along with sound judgment and critical thinking, enter direct and interpreted data from ACR’s 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
Required Skills and Qualifications
· 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
· 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
