Coding Specialist Job 2024 Full Time

Who is EMS|MC

EMS|MC offers full-service revenue cycle management solutions and is the largest billing services provider focused exclusively on emergency medical services in the U.S. We offer services from software to hardware to billing services and everything in between.

For over 25 years, our high-quality service, results and customer-centric approach have set the standard in professional EMS billing. We have an emphasis on patient satisfaction and our client customization enables us to fulfill our mission of providing value-added, innovative financial services that enhance the delivery of a cost-effective EMS system.

With this level of specialization, we have built a team of dedicated, industry-leading experts with unprecedented experience to maximize our clients EMS revenue.

Why EMS|MC:

• Career development plans and employee resource groups
• Weekly wellness seminars
• Comprehensive benefit package including medical, dental, vision and life insurance
• Remote opportunities
• All equipment provided

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Job Type: Full-time

Location: Remote- USA

Title: Coding Specialist

About the role: Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports (ACR’s) in accordance with client, company, and compliance standards.

As a Coding Specialist with EMS|MC, you will:

• 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

Requirements:

You will be successful in this role if you:

• 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

Key skills we hope you have:

• 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