Job Description
Job Summary: Working under the daily supervision of the Coding Supervisor and under the general leadership of the Revenue Cycle Management Director, the Medical Coder is responsible for accurately and appropriately coding ambulance claims in preparation for submission to the appropriate payers in a timely manner, consistent with coding guidelines and standards.
Major Duties and Responsibilities: - Assign accurate HCPCS according to clinical documentation and official coding guidelines for ambulance services providers.
- Reviews modifiers to ensure location for origin and destination are correct.
- Monitor assigned work queues to ensure all records are processed in a timely matter, while ensuring defined productivity is met.
- Monitor the accuracy of patient demographic and insurance information, and validate that that required signatures and are in place prior to claim submission.
- Maintain a working knowledge of insurance and/or special handling requirements as they pertain to coding for ambulance services.
- Maintain confidentiality of all patient care information to ensure patient rights are protected.
- Ensure all work adheres to all official coding guidelines and regulatory standards.
- Maintain knowledge of current industry standards and ensue organizational coding practices align.
- Adhere to all organizational policies and work with the highest level of integrity.
- Performs other duties as assigned.
Qualification Requirements: - Thorough knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
- Working knowledge of medical billing and medical terminology
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
- Ability to type at least 35 words per minute and proficiency in 10 key
- Proficiency with Microsoft Office (Word, Outlook, Excel, and PowerPoint).
- Excellent time management skills with attention to detail.
- Ability to work independently and with a group and maintain good working relationships.
Education and/or Experience: - Minimum GED or High School Diploma
- Minimum 2 years' experience in hospital or physician's office procedure charting preferable
- Two (2) years' experience in ICD-10, preferred
- Medical Coding Certification, preferred
Essential Functions: Physical Demands: Sitting for long periods of time, occasional light and moderate lifting exceeding 25 pounds. Occasional standing, walking, bending and stooping are secondary to main elements of this position. Vision and hearing normal or correctable to within normal limits.
Work Environment: Work is performed in a residential office, preferably located within 75 miles from Oklahoma City or Tulsa. Travel to the Oklahoma City or Tulsa office may be required on occasion.All employees must follow the organizational policies pertaining to remote or at home employment.
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