Pafford Emergency Medical Services

Essential Duties and Responsibilities: Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes Prioritize workflow to ensure timely claim submission Knowledge of state and federal insurance regulations Ability to analyze and problem solve complex issues Knowledge of billing requirements, coverage and benefits Uphold Medicare, Medicaid and HIPAA guidelines Identifies and communicates documentation issue trends Utilize various resources to locate insurance payers for ambulance transportation Contact the hospital, patient’s family, and/or patient to obtain insurance information Fax partner hospitals requests for information Validate and update patient demographics in the practice management system Responsible for the accurate entry of data into the practice management system This position requires specialist to spend extended periods of time on the phone with insurance companies Reports quality and...

JOB DESCRIPTION Responsible for appropriate and accurate coding of ambulance claims for submission to appropriate payer to appropriate and timely reimbursement of ambulance services. Ambulance Billing Coder converts patient’s information into standardized codes which are used on documentation for healthcare insurance claims and for databases. Medical coders assist in the reimbursement of ambulance claims from healthcare insurance companies. ESSENTIAL DUTIES AND RESPONSIBILITIES: ● Entering Patient Health Information into the TriTech system from the ZOLL Web PCR ● Assigns appropriate ICD-10 codes based on the information documented in the patient care report ● Assign the appropriate level of ambulance based on the CAD report ● Assign appropriate charges for services supported by the patient care report ● Review documentation to determine medical necessity of the ambulance transport and enter appropriate billing narrative to each claim ● Ensure that all necessary documents are...