CAC - Certified Ambulance Coder

Acute Care Technology

At ZOLL, we're passionate about improving patient outcomes and helping

save lives.

We provide innovative technologies that make a meaningful difference in

people's lives. Our medical devices, software and related services are

used worldwide to diagnose and treat patients suffering from serious

cardiopulmonary and respiratory conditions.

ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare

software solutions provider that empowers hospital, EMS and Fire, and

billing/accounts receivable (AR) teams to deliver more-from better

patient outcomes to operational efficiencies and greater revenue capture. Our

business exists to help save more lives through data-driven innovation and

interoperability, opening new pathways for our customers to achieve the

highest levels of care, collaboration, and reimbursement.

Job Summary:

This position is geared toward verification of transport and patient data as

well as compliant coding and billing with appropriate payer claims

specifications and accompanying documentation. This position performs

demographic and medical coverage verification, identifies transport call,

response and mission type disparities and reviews for appropriate vehicle

type, pickup, drop off locations, mileage, and transport dates, and

assigns the appropriate Level of Service and Diagnosis Codes to all ambulance

claims. The position is responsible for document retrieval and professional

communication with Customers, Call Centers and facility Patient Financial

Services Staff. Applicant must have 2-5 years of experience with medical

billing and claim submission. This position requires a candidate that is

highly detail oriented, able work in a fast-paced environment with high

volume, accurate data entry.

Essential Functions:

1) Verify accurate data completion by Communication/Dispatch Specialists

and Medical Clinicians, in accordance with established processes. Details to

include patient locations, loaded mileage and patient demographics.

2) Thoroughly and appropriately document all activities in patient account

notes in accordance with established processes.

3) Retrieve, retain and interpret Federal and Industry Standard Signature

Documents, ensuring uniformed and compliant billing practices and clean

claim submission.

4) Perform data entry of patient demographic information and charges,

within billing software, as appropriate for claims submission and financial

reporting.

5) Perform in-depth sponsor review investigations to identify, collect,

and confirm third party liability and coordination of benefits insurance

covera

6) Interact on an as needed basis, with leadership, customers, crew

members, law enforcement agencies, insurance companies, patients and

hospital patient information systems to collect additional patient and payer

demographic information.

7) Performs 'Medicare as a Secondary Payor (MSP)' review,

coordination of benefits and generate invoices to patients as needed.

8) Apply the appropriate level of service for the transport provided using

the Customer Scope of Practice.

9) Assign the most accurate diagnosis codes from the crew documentation

ensuring highest level of specificity and considering payor guidelines or

local coverage determination requirements.

10) Assign modifiers appropriate to the locations for the transport as well

as any payor required modifiers.

11) Initiate insurance billing transactions; transmit electronically

and/or prepare claims packets for payers in accordance with payer specific

claim requirements.

12) Screens for clean claims submission pursuant to payer specific

guidelines, and billing form requirements.

13) May assist with billing/collection tasks as assigned.

14) Required to act as back-up support in the performance of client

financial liaison duties

15) Other responsibilities as assigned.

DIMENSIONS:

1. Ability to work independently and demonstrate consistent cus omer focus

2. Ability to analyze and make good billing/collections decisions keeping in

mind the goals and objectives of the department

3. Recognize the entire scope of an issue and participate objectively towards

resolution with other team members.

4. Maintains professional personal appearance.

5. Ability to verbally communicate details and understand parameters of job

responsibilities to perform in a Hospital Systems setting.

6. Initiative required learning company organization and procedures.

7. Is a team player and interfaces well with employees.

8. Display competency, business professionalism, patient advocacy in all

communications both (verbal and written) and interpersonal relations.

9. Ability to provide written communication using best business practices when

composing letters, memorandums, and e-mails regardless if the

communication is inside the Company or with customers, clients, or providers.

10. Must maintain the highest professional and ethical standards in conducting

day-to-day business. Adheres to all Company HIPAA compliance regulations,

business and professional ethics, and confidentiality and privacy

regulations as outlined in the Corporate Code of Conduct, the Employee

Handbook, and the PFS Department policies and procedures.

11. Requires an in depth understand of compliance, regulatory oversight

bodies and payer requirements.

12. Represents the company in a positive, customer friendly attitude to

other employees, clients, agencies, entities and patients.

13. No supervisory or budget responsibilities.

14. Focus on continuous improvement, learning, accountability, and teamwork

ZOLL is a fast-growing company that operates in more than 140 countries around