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Medical Billing and Coding Clerk - EMS Ambulance -Treasury & Billing

County of Volusia
FL. 32117, FL Full Time
POSTED ON 7/31/2026
AVAILABLE BEFORE 9/30/2026
The County of Volusia is seeking a Medical Billing and Coding Clerk - Working Title: Ambulance Billing and Coding Clerk for the Treasury & Billing Division. This position is located in Holly Hill, Florida, and will handle advanced responsible work coding and charging ambulance transports for reimbursement from patients or third-party payers.
(NOTE: These are intended only as illustrations of the various types of work performed. The omission of specific duties does not exclude them from the position.)
  • Evaluates ambulance patient care reports and accurately codes ambulance transport claims using International Classification of Diseases, 10th Revision (ICD-10), Healthcare Common Procedure Coding System (HCPCS), and Current Procedural Terminology (CPT) codes in order to optimize reimbursement and ensure data complies with federal and state rules and regulations. 
  • Properly codes ambulance patient care reports for other vital data collection points including statistical fields, etc.
  • Verify patient demographics and insurance eligibility using multiple sources to include hospital face sheets and Clearinghouses. 
  • Ensure compliance with federal, state, and payer regulations. 
  • Enters ambulance transports into the ambulance billing software. 
  • Must be able to relocate to other county locations based on operational needs.
  • Must adhere to Federal, State, County and Local ordinances.
  • Attends work on a regular and consistent basis.
  • Responds to emergency situations.
  • Performs other duties as assigned.

Graduation from high school or possession of a GED plus one (1) year of experience in medical billing or coding.


OR

Graduation from high school or possession of GED and medical ambulance coding certification from an accredited program. Examples if qualifying certifications include Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC)

A comparable amount of education, training, or experience may be substituted for the minimum requirements.


Must possess and maintain a valid driver's license at time of hire. 

Must possess a valid Florida driver's license within 30 days of hire and maintain thereafter. 


**EMPLOYMENT REQUIREMENT

Must not be excluded from participating as a health care provider in insurance programs including, but not limited to, Medicare and Medicaid prior to and during employment with the County of Volusia.


The preferred candidate, having met the requirements, will possess a medical or ambulance coding certification from an accredited medical or ambulance coding program or currently enrolled in a medical/ambulance coding program and one (1) year of experience in medical billing or coding.


  • Knowledge of ambulance transport documentation.
  • Knowledge of HCPCS, CPT, and current ICD-10 codes.
  • Knowledge of Medicare and Medicaid rules and regulations.
  • Knowledge of medical and ambulance coding and compliance.
  • Knowledge of medical billing software.
  • Knowledge of medical terminology.
  • Skilled in the use of a computer and associated software programs.
  • Ability to interpret Explanation of Benefits (EOB).
  • Ability to express ideas clearly and concisely, orally and in writing to groups and individuals.
  • Ability to respond to emergency situations.
  • Ability to work under stressful conditions.
  • Ability to interact effectively with others.
  • Must be able to relocate to other county locations based upon operational needs.


ADA REQUIREMENTS:
Physical Demands: Sedentary work.  Ability to talk, hear, and see.  Visual acuity (peripheral vision, depth perception) is necessary to read, write, and use the computer.  Ability to look at a computer screen for long periods.  Finger dexterity.  Ability to bend, stoop, and reach.  Ability to lift, push and/or carry up to 10 pounds.

Environmental Demands: Inside work. 

Mental Demands: Ability to read and comprehend instructions, procedures, memos, medical billing documentation.  Ability to do general mathematics. Ability to write and speak clearly and concisely to relay billing information, data, and details to others.


Volusia County is a drug free workplace and an Equal Opportunity Employer committed to a diverse workforce. Veterans' preference in accordance with federal, state, local laws.  

Salary.com Estimation for Medical Billing and Coding Clerk - EMS Ambulance -Treasury & Billing in FL. 32117, FL
$36,816 to $45,207
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