Medical Coder

MUST:

3+ years of experience as an outpatient Medical Coder

CPC or COC

CAC Coder Certificate (either has it or company will pay for them to get it)

2+ years of ICD-10 coding

PLUS:

Medical flight background

CMS guidelines for ambulance, air, and ground (needs to know emergency services)

GE software for billing or Zoll software (clinical chart)

DAY TO DAY:

A clinical coder will review clinical charts and other related forms to determine and record in appropriate priority order, from the ICD10 coding structure, those codes appropriate for each record reviewed that are appropriate for billing purposes. Incumbent will utilize prior training and experience to properly apply clinical codes from an EMS perspective (clinical assessments, signs, symptoms, and mechanisms of injury rather than diagnoses). This position requires Certification for Medical/Clinical coding, including a preference for further certification specifically for EMS coding practices.

Essential Job Functions:

Verify patient insurance information.

Coding of Trip with appropriate HCPCS Codes, Modifiers, and ICD-10 codes.

Ensure appropriate supporting documentation is received and complete to ensure accurate and timely processing of claims.

Support the submission of corrected claims.

Maintains quality results by following standard operating procedures.