Medical Biller/Coder
- Job Title
- Location
- Department
- FLSA Status
- Reports To
- Shifts Hiring
- High School Diploma, Associate degree preferred.
- Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred.
- Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation.
- Ambulance/Medical billing certification or diploma preferred.
- Maintain working knowledge of ICD-10, CPT and HCPCS coding, NPI, HIPAA, Modifiers, EPCR’s and all forms of medical billing (direct, 3rd party, HMO’s, private pay, no-fault, worker’s comp, Medicare & Medicaid
- Excellent organizational skills and the ability to multi-task in a fast-paced environment
- Review and research data; use intuition and experience to complement data.
- Thorough knowledge of transport documentation (PCRs)
- Ability to follow up on outstanding Medicare accounts.
- Ability able to submit appeals and overpayment requests.
- Familiar with Medicare/CMS requirements and guidelines.
- Health Insurance Portability and Accountability Act (HIPAA) requirements and record retention compliance.
- Excellent written and verbal communications skills required
- Excellent documentation skills (promptness, accuracy, thoroughness, and legibility).
- Medical terminology necessary.
- Customer Service/ Client relations.
- Working knowledge of EMS systems/private ambulance and medical transportation systems preferred.
- Knowledge of CONNEX preferred.
- Knowledge Microsoft Word, Microsoft Excel, and Microsoft Windows.
- Familiarity with medical terminology
- Organizational and leadership abilities, detail oriented.
- Work is performed under normal working conditions, as in a standard office environment.
- High level of sitting/working at a desk
- Light physical effort (lift/carry up to 10 lbs.)
- Must be able to perform the essential duties of the position with or without a reasonable accommodation.
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