What are the responsibilities and job description for the Coding Specialist position at EMS Management & Consultants, Inc.?
Description
Job Summary
Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports (ACR’s) in accordance with client, company, and compliance standards.
Major Responsibilities/Activities
Required Education, Skills, & Experience
Job Summary
Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports (ACR’s) in accordance with client, company, and compliance standards.
Major Responsibilities/Activities
- 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 Education, Skills, & Experience
- 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
- 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
- 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
- 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
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