Coding Specialist

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

Other Responsibilities/Activities

• 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

Performance Success Factors

• 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

Preferred Education, Skills, & Experience

• 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 

Physical Environment

• 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

*Please note, our hiring process typically lasts 2-4 weeks with three to four interviews total.*