What are the responsibilities and job description for the Ambulance Billing Coder position at Pafford EMS?
JOB DESCRIPTION
Responsible for appropriate and accurate coding of ambulance claims for submission to appropriate payer to appropriate
and timely reimbursement of ambulance services. Ambulance Billing Coder converts patient’s information into
standardized codes which are used on documentation for healthcare insurance claims and for databases. Medical
coders assist in the reimbursement of ambulance claims from healthcare insurance companies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
● Entering Patient Health Information into the TriTech system from the ZOLL Web PCR
● Assigns appropriate ICD-10 codes based on the information documented in the patient care report
● Assign the appropriate level of ambulance based on the CAD report
● Assign appropriate charges for services supported by the patient care report
● Review documentation to determine medical necessity of the ambulance transport and enter appropriate billing
narrative to each claim
● Ensure that all necessary documents are present before submitting a claim for reimbursement
● Ensure that each account is billed to the correct payer and billing schedule
● Performing other duties as assigned.
QUALIFICATIONS
● Proficient with a PC
● Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
● Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
● Knowledge of medical terminology
● Knowledge of Medical Billing
● Ability to work independently and with a group
● Working knowledge of MS Word, Excel
● Ability to maintain effective working relationships.
● Thorough knowledge of office practices
● Ability to type at least 35 words per minute.
● Proficiency using 10 key
EDUCATION AND EXPERIENCE REQUIREMENTS:
● High School Diploma or GED
● Minimum of one year revenue
PHYSICAL REQUIREMENTS
● Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other
federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
● Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local
standards.
● The employee may occasionally be required to lift and/or move up to 20 pounds.
● Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception, and the ability to adjust focus.
● Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and
other physical exertion.
● Must be able to talk, listen and speak clearly on telephone.
● Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a
motor vehicle.
TRAVEL TIME: 0-5% Negligible travel
NOTE: The above statements are intended to describe the general nature and level of work being performed by the
person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and
physical demands required of personnel so classified.
Responsible for appropriate and accurate coding of ambulance claims for submission to appropriate payer to appropriate
and timely reimbursement of ambulance services. Ambulance Billing Coder converts patient’s information into
standardized codes which are used on documentation for healthcare insurance claims and for databases. Medical
coders assist in the reimbursement of ambulance claims from healthcare insurance companies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
● Entering Patient Health Information into the TriTech system from the ZOLL Web PCR
● Assigns appropriate ICD-10 codes based on the information documented in the patient care report
● Assign the appropriate level of ambulance based on the CAD report
● Assign appropriate charges for services supported by the patient care report
● Review documentation to determine medical necessity of the ambulance transport and enter appropriate billing
narrative to each claim
● Ensure that all necessary documents are present before submitting a claim for reimbursement
● Ensure that each account is billed to the correct payer and billing schedule
● Performing other duties as assigned.
QUALIFICATIONS
● Proficient with a PC
● Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
● Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
● Knowledge of medical terminology
● Knowledge of Medical Billing
● Ability to work independently and with a group
● Working knowledge of MS Word, Excel
● Ability to maintain effective working relationships.
● Thorough knowledge of office practices
● Ability to type at least 35 words per minute.
● Proficiency using 10 key
EDUCATION AND EXPERIENCE REQUIREMENTS:
● High School Diploma or GED
● Minimum of one year revenue
PHYSICAL REQUIREMENTS
● Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other
federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
● Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local
standards.
● The employee may occasionally be required to lift and/or move up to 20 pounds.
● Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception, and the ability to adjust focus.
● Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and
other physical exertion.
● Must be able to talk, listen and speak clearly on telephone.
● Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a
motor vehicle.
TRAVEL TIME: 0-5% Negligible travel
NOTE: The above statements are intended to describe the general nature and level of work being performed by the
person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and
physical demands required of personnel so classified.