EMS Coding Specialist - EMS Billing - Public Safety Department

**Close Date: November 24, 2025**

This class reviews patient medical records and assesses code assignment of medical treatment.

EXAMPLE OF DUTIES:

Reviews records and translates information, utilizing appropriate medical coding, onto appropriate medical claim forms

Audits trip tickets for accuracy of patient information and charges in order to input billing information into applicable database

Cross-references and maintains daily paperwork against master logs to ensure ambulance trips are properly accounted for

Refers to and complies with applicable Medicare guidelines and federal and State insurance billing rules to obtain information on base rates, medical necessity, and physical certification statements

Extracts and transfers records from master database into applicable billing database

Identifies incomplete or deficient information contained on medical records and/or physician statements in order to return to appropriate individuals and/or facilities for correction

Creates and processes the billing of facility accounts

Analyzes record requests received from hospitals and Federal or State intermediaries

Reviews and updates medical codes and HCPC codes and makes appropriate additions and/or deletions to database to ensure information is current and accurate

Contributes to process improvement recommendations for assigned duties

Performs other duties as assigned

TYPICAL QUALIFICATION

Minimum Qualifications

Training and Experience:

Associate's Degree or two year technical certificate and at least six months of experience in insurance records management or billing; or, a combination of education and experience equivalent to these requirements.

Licenses and Certifications:
Possess, or obtain, within one year of employment in a position of this class, certification from the National Academy of Ambulance Coding as an Ambulance Coder

Knowledge, Skills, Abilities, and Other Characteristics (KSAOs):

medical terminology
ICD-10-CM diagnosis codes
HCPC codes
HIPAA regulations
Medicare guidelines
applicable Federal, State, and local laws, rules, regulations, codes, and/or statutes
analyzing medical records and physician statements for completeness and accuracy
keyboarding
maintaining databases
using a computer and related software applications
communication and interpersonal skills as applied to interaction with coworkers, supervisor, the general public, etc. sufficient to exchange or convey information and to receive work direction
translate information from medical records into appropriate ICD-9-CM codes
interpret and apply applicable laws, rules, and regulations

SUPPLEMENTAL INFORMATION

County-wide Employee Responsibilities:
All Escambia County BCC employees must serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of Escambia County BCC's Employee Code of Ethics, gift, and conflict of interest policies.

All Escambia County BCC employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.

Emergency Management Responsibilities:
During emergency conditions, the incumbent of this position will automatically be considered an emergency service worker. This employee is subject to being called to work in the event of a disaster, such as a hurricane, or other emergency situation and is expected to perform emergency service duties, as assigned.

Physical Requirements:
Positions in this class typically require: fingering, grasping, talking, seeing and repetitive motions.
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work.