Coder/Charge Entry Specialist
On-siteSaginaw, Michigan, United States
Job Summary
Review dispatch information and patient care reports to accurately determine service type, diagnosis, medical necessity, charges, and payer. Code patient diagnoses using the ICD10 system and select the correct HPPCS code while understanding Tier 1/Tier 2, ALS, SCT, and non-emergency transport protocols. Complete narrative and ambulance certification areas, then place and verify claims in the appropriate schedule. Maintain HIPAA compliance and utilize insurance websites such as C-Snap and Web Denis. Perform and assist with other duties as assigned. Requires two or more years of medical billing experience including appeals resolution, proficiency with Microsoft Word and Excel, and the ability to stand or sit for extended periods in a typical office setting.
Required Qualifications
- Two or more years of medical billing experience including appeals resolution
- Must be well versed in daily operations as it pertains to the ambulance industry and operations
- Must proficiently use insurance websites i.e., C-Snap, Champs, Web Denis, etc., 2 months after date of hire
- Reading skills to comprehend correspondence and materials specific to the healthcare industry
- Writing skills to compose complex correspondence or reports with minimal direction provided
- Must demonstrate ability to maintain security and confidentiality with utmost discretion
- Ability to communicate effectively both verbally and in writing, in the English language
- Ability to organize tasks and insure timely completion of all projects
- Advanced computer skills including the ability to utilize a computer PC with Windows operating system
- Ability to operate office equipment, including but not limited to, copier, fax machine, scanner, monitor, multi-line telephone, printer, and calculator
- Proficiency with Microsoft Word and Excel
- Regular attendance and timeliness
- Skilled in typing, data entry, scanning, electronic filing and document retrieval
- High School Diploma
- Must be at least 18 years old
- Suitable dexterity to operate standard office equipment
- Capability to stand or sit for extended periods of time
- Regular, in-person attendance is an essential function of the job
- Hours must be flexible to meet the demands of the office
Desired Qualifications
- Know and support the Mission Statement, Policy/Procedures and standards of MMR
- Code the patient diagnosis code utilizing the ICD10 coding system
- Select the correct HPPCS code
- Understand proficiently Tier 1/Tier 2, ALS 1 with and w/o ProQA/EMD) ALS 2, SCT/Neonate/Emergency and non-emergency transports and how these assist in determining the charges
- Understand proficiently EMT-Basic, EMT-Paramedic, Specialty Care Transport (SCT) trained staff
- Complete narrative and ambulance certification areas
- Places claim in appropriate schedule i.e., Auto 1/Neonate 1/Care/Caid, etc
- Verify the claim
- Maintains HIPAA compliance
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