Pafford EMS

Job Title: Remote Ambulance Coder Work Location: Pafford Medical Services, Inc. - Oklahoma City Division/Department: PMBS Reports To: Director of Pafford Medical Services Billing Full-Time Nonexempt Job Description: Responsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims. Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of care. Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in order to process third party claims and patient bills. 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...

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...