Pafford Medical Billing Services in Hope, AR has an immediate opening for a full-time Ambulance Claim Coding Associate.  The hours are 8am-5pm (Monday-Friday)

Overall Responsibility:  Responsible for the performance of charge validation and usage of approved ICD-19 and HCPCS coding standards for coding of 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 runs in order to process third party claims and patient bills.  

Key Areas of Responsibility

• Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes
• Verify patient demographics and insurance coverage
• Prioritize work flow to ensure timely claim submission
• Knowledge of state and federal insurance regulations
• Ability to analyze and problem solve complex issues
• Knowledge of billing requirement, coverage and benefits
• Uphold Medicare, Medicaid and HIPAA guidelines
• Identifies and communicates documentation issue trends
• Reports quality and documentation to the department head

Requirements

• High School Diploma or equivalent
• Medicare, Medicaid and/or Insurance Billing experience, strongly preferred
• Excellent computer and data entry skills
• Working knowledge of medical terminology/ICD-10 codes, strongly preferred
• Strong organizational skills to adhere productivity goals