EMS Medical Coding Specialist

Description

Butler Medical Transport has an immediate opening for a full-time Medical Coding Specialist. Once successfully trained the Coding Specialist will be responsible for a variety of claims management functions including but not limited to reading Patient Care Reports (PCR’s), and Certificate of Medical Necessities (CMN’s), to determine appropriate ICD-10 codes to be assigned as well as HCPCS Codes and Modifiers on Ambulance Transport Claims, to ensure clean submission and resolution of said claims. Additionally, the Coding Specialist will be involved in researching, and correcting claims that have been returned by Payor’s for Resubmission and or appeal. 

The Coding Specialist would be eligible for a hybrid remote work schedule at the completion of successful training and onboarding.   

Requirements

ROLE AND RESPONSIBILITIES

• Claim status check and resolution, including initiating contact with appropriate third-party payor.
• Claim rejection/denial and resolution, including initiating contact with appropriate third-party payor.
• Coding of Ambulance Claims (ICD-10, HCPCS, & Modifiers).
• Return of Claims to Crews or Facilities for Corrections
• Manage inbound customer calls.
• Verification tasks specific to payor type.
• Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes.
• Other duties as assigned.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• Graduation From High School or equivalent
• Customer service experience
• Ability to view computer monitor for extended periods (more than 8 hours)
• Ability to remain composed and multi-task in a busy, high-pressure environment.
• Ability to comprehend or learn department practices, rules, and regulations quickly.
• Ability to operate telephone and other specialized computer communication equipment.
• Ability to learn new software.
• Ability to speak clearly, concisely, and respectfully.
• Ability to communicate effectively with a diverse population, including medical professionals.
• Ability to think and react quickly and effectively in tense situations.
• Ability to follow written and oral instructions.
• Ability to recall details from numerous informational resources.
• Ability to prioritize decisions based upon multiple criteria and identifiable standards of policies and procedures.
• Maintain a reliable attendance record and be punctual daily.
• Pass background investigation
• Pass a pre-employment drug screen and all subsequent random or for cause drug screenings.

PREFERRED SKILLS

• ICD-10 Coding and billing.
• Knowledge of payor types – Medicare, Medicaid, private insurance
• Proficiency in Microsoft Office Suite