Billing and coding clerk

This job was posted by https://idahoworks.gov : For more information,

please see: https://idahoworks.gov/jobs/2549879

**ESSENTIAL DUTIES AND RESPONSIBILITIES**

• Review patient care reports and additional documentation to identify
  
  

conditions treated and the services provided to each patient.

Accurately code diagnoses using current Internal Classification of

Disease (ICD) and accurately codeservices using Healthcare Common

Procedure Coding System (HCPCS) for services delivered. Assures

diagnoses and services are substantiated in patient care

documentation.

• Verifies patient demographics, insurance information, and completion
  
  

of all required signatures necessary for billing. Enters patient

information, diagnosis, and charges into the billing system.Contacts

patients, their representative, insurance companies, and utilizes

various resources to obtain missing information and assist with

delinquent accounts. Receives, investigates, skip traces and updates

accounts with returned mail. Documents all actions and account

activity on patient account.

• Answers patient inquires by phone, in person, and by mail. Explain
  
  

all actions pertaining to the billing/accounting/collections

processes. Establishes payment plans.

• Assists with submission of claims to insurance companies and
  
  

invoicing patients.

• Maintains confidentiality of healthcare information in compliance
  
  

with the Health Insurance Portability and Accountability Act, HIPAA.

• Assists with financial accounting by preparing deposits and posting
  
  

payments to patient accounts. Evaluates explanation of benefits and

contractual adjustments.Posts approved adjustments to accounts

pertaining to deposit.

• Maintains logs and records pertaining to ambulance billing. Assists
  
  

with creating and tracking log of all responses to ensure reports

are complete. Scans records and attaches documentation to

appropriate account.

• Assists with the overall functions of the Administrative office.
  
  

Cross-trained to assist customers, issue permits, collect fees, and

provide general information about the Fire Department.

• Other duties as assigned by the Office Manager.
  
  

**ACCEPTABLE EXPERIENCE, TRAINING, LICENSES AND/OR CERTIFICATIONS**

• High School Diploma/GEDrequired;
• Medical Coding certification or 3-5 years experience in Medical
  
  

coding or any equivalent combination of experience, education and

Training Which Provides The Knowledge, Skills And Abilities

necessary to perform the work;

• Ability to obtain Certified Ambulance Coder, CAC, certificate within
  
  

12 months;

• Strong written, verbal, and interpersonal skills arerequired;
• Idaho drivers licenserequired.
  
  

An equivalent combination of education and experience that provides the

Required Skills, Knowledge And Abilities To Successfully Perform The

essential functions of the position may be considered.

• CLASSIFICATION REQUIREMENTS**\
  
  

The requirements listed below are representative of the minimum

knowledge, skill, and/or ability required for an individual to

satisfactorily perform each essential duty satisfactorily and be

successful in the position.

*Knowledge of:*

• Ambulance Billing compliance and regulations;
• Medicare rules and regulation;
• Medical diagnosis codes, ICD10, HCPCS or current standard, and
  
  

coding practices;

• Maintains a working knowledge of Medical Terminology and Anatomy and
  
  

Physiology;

• Customer service principles and procedures;
• Operation of standard office equipment, a personal computer, and
  
  

job-related software applications for word processing, spreadsheets,

Desktop Publishing, Microsoft Suite, And Other Required

applications.

*Skill and Ability to:*

• Plan, organize, prioritize multiple projects;
• Analyze and interpret complex information and data;
• Answer inquiries and provide information for the public, other city
  
  

departments, businesses and private citizens;

• Operate a personal computer and job-related software applications;
• Maintain a collaborative and cooperative working relationship with
  
  

elected and appointed officials, other City employees, and the

public;

• Ability to perform work and deal with the general public, some of
  
  

whom may be frustrated or under stress, in a tactful and courteous

manner;

• Ability to work with others in a helpful and professional manner to
  
  

accomplish the required work;

• Communicate effectively in the English language at a level necessary
  
  

for efficient job performance;

• Complete assignments in a timely fashion; understand and comply with
  
  

all rules, policies and regulations;

• Perform all duties in accordance with city policies and procedures
  
  

with regard for personal safety and that of other employees and the

public.

• PHYSICAL REQUIREMENTS**\
  
  

Whileperformingthedutiesofthisclassification,theemployeeisfrequentlyrequiredtostand,walk,sit,stoop,

kneel, bend, and work in an office