What are the responsibilities and job description for the CAC Medical Biller position at OneStaff Medical?
Company Description :
Job Summary :
We are seeking a knowledgeable and detail‑oriented Certified Ambulance Biller / Coding Specialist to join our billing team. This role is responsible for reviewing patient care reports, applying proper ambulance billing codes, ensuring compliance with federal and state regulations, and submitting clean claims for timely reimbursement. The ideal candidate understands EMS industry billing practices and has experience with accurate documentation review and denial prevention.
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Responsibilities :
- Review Patient Care Reports (PCRs), run sheets, and supporting documentation for accuracy and completeness.
- Apply correct ambulance billing codes, including HCPCS, CPT, and ICD‑10, according to documentation and payer requirements.
- Determine appropriate levels of service (BLS, ALS1, ALS2, SCT, mileage, etc.) based on medical necessity and documentation.
- Enter and validate charges in the billing system prior to claim submission.
- Ensure compliance with Medicare, Medicaid, and commercial payer guidelines.
- Identify missing or insufficient documentation and coordinate follow‑up with field staff or supervisors.
- Process claims, resolve edits, and prepare bills for submission.
- Review and correct returned or denied claims to support quick resolution.
- Maintain accurate records and meet productivity/quality benchmarks.
- Stay current on EMS billing regulations, compliance updates, and coding changes.
- Assist with internal audits and quality assurance reviews as needed.
- Strong understanding of medical-necessity requirements
- Knowledge of reimbursement guidelines and compliance laws (HIPAA, CMS regulations)
- Accuracy in data entry and coding
- Ability to work independently while meeting deadlines
- Comfortable collaborating with EMS crews, supervisors, and the billing team
Requirements :
- Required: Certification as a Certified Ambulance Coder (CAC), Certified Ambulance Documentation Specialist (CADS), or equivalent EMS billing certification.
- Preferred: Additional certifications such as CPB, CPC, or other medical billing/coding credentials.
- 1–3 years of ambulance billing, medical billing, or coding experience (preferred but not required with proper certification).
- Strong knowledge of Medicare and Medicaid ambulance billing rules.
- Ability to read and interpret medical documentation and apply proper codes.
- High attention to detail with strong analytical and problem‑solving skills.
- Excellent communication and follow‑up abilities.
- Proficiency with billing software systems and Microsoft Office applications.
Education :
Associate Degree
Benefits :
While working with OneStaff Medical you will enjoy top-tier benefits such as:
- 401K
- Car Allowance
- Concierge
- Eat Well
- Employee Assistance Program
- Flex Hours
- Free Direct Deposit / Weekly Pay
- Game Rooms
- Gym Privileges
- HealthJoy
- In-House Chiropractor
- In-House Massage Therapist
- Life Insurance
- Long/Short Term Disability
- Pet Insurance
**Equal Opportunity Employer**