Job Description
Note: The job is a remote job and is open to candidates in USA. EMS Management & Consultants, Inc. is focused on maximizing client reimbursement through accurate data management. The Coding Specialist will be responsible for entering and processing ambulance call reports, ensuring compliance with various standards, and providing feedback on the billing process.
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
Skills
- 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
Benefits
- Discretionary bonus plan
- Comprehensive benefit package
- Retirement plan
- Health coverage
- Paid time off
Company Overview
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