Physician Certification Statement/Documentation Coordinator
Summary
| Title: | Physician Certification Statement/Documentation Coordinator |
|---|---|
| ID: | 2402 |
| Pafford EMS: | Hempstead County |
| Division/Department: | PMBS |
| State: | Arkansas |
Description
JOB DESCRIPTION
The Physician Certificate Statement / Documentation Coordinator is responsible for obtaining and validating Physician Certification Statements (PCS) for non-emergency ambulance transports. This role requires strict adherence to Medicare guidelines to ensure documents are secured, facilitate reimbursement, and comply with governmental regulations.
The Physician Certificate Statement / Documentation Coordinator is responsible for obtaining and validating Physician Certification Statements (PCS) for non-emergency ambulance transports. This role requires strict adherence to Medicare guidelines to ensure documents are secured, facilitate reimbursement, and comply with governmental regulations.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- PCS Research and Validation: Review and validate Physician Certification Statements (PCS) for accuracy in signatures, printed names, medical necessity, dates, credentials, and destinations.
- Mail Requests: Send requests for PCS or Non-Emergent Ambulance Transport forms within defined timelines dictated by Medicare or Medicaid guidelines.
- Communication: Secure PCS forms by contacting nursing homes, physicians, patients, and various facilities. Develop and maintain strong relationships with healthcare partners in the communities we serve.
- Billing Preparation: Schedule claims for billing using billing software.
- Patient Confidentiality: Maintain patient confidentiality in accordance with HIPAA regulations.
QUALIFICATIONS
PHYSICAL REQUIREMENTS
● Proficient with a PC
● Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
● Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
● Knowledge of medical terminology
● Knowledge of Medical Billing
● Ability to work independently and with a group
● Working knowledge of MS Word, Excel
● Ability to maintain effective working relationships.
● Thorough knowledge of office practices
● Ability to type at least 35 words per minute.
● Proficiency using 10 key
EDUCATION AND EXPERIENCE REQUIREMENTS:
- School Diploma or GED
- Minimum of two years revenue cycle management or clinical experience preferred.
PHYSICAL REQUIREMENTS
● Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other
federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
● Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local
standards.
● The employee may occasionally be required to lift and/or move up to 20 pounds.
● Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception, and the ability to adjust focus.
● Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and
other physical exertion.
● Must be able to talk, listen and speak clearly on telephone.
● Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a
motor vehicle.
TRAVEL TIME: Minimal
NOTE: The above statements are intended to describe the general nature and level of work being performed by the
person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and
physical demands required of personnel so classified.
