SUMMARY:
This position is responsible for reviewing and evaluating ambulance run reports to assign appropriate HCPCS and ICD-10 codes. In addition, the coding specialist will be responsible for tracking any documentation or system trends and reporting these to management.
ESSENTIAL DUTIES AND RESPONSBILITIES:
(Responsibilities include, but not limited to)
Verify patient demographics and insurance verification are complete.
Accurately assign the appropriate HCPCS codes and modifiers to each account according to Federal/Local regulations
Accurately assign the appropriate diagnosis code(s) to each account according to Federal/Local regulations
Consistently achieve defined metrics.
Adhere to company policies and procedures.
Regular attendance is an essential function of the position.
Other duties as assigned.
KNOWLEDGE AND SKILLS:
Ability to read, analyze and interpret insurance plans.
Possess intermediate knowledge of Medicare, Medicaid, and insurance benefits.
Demonstrate knowledge of ICD-10 CM coding
Must have accurate, high-level data entry skills with continuous quality focus
Must have excellent phone and customer service skills.
Must be detail oriented with excellent organizational and problem solving skills.
Experience in MS Office and general computer skills
PHYSICAL REQUIREMENTS:
This is a remote positions.
MINIMUM QUALIFICATIONS:
Minimum education required: Medical Terminology course, Anatomy and Physiology course, and completion of an accredited coding course, minimum of 80 hours of class time.
Certified Professional Coder (CPC) or (CCS) preferred or CAC certification.
Previous internship plus 3 months of experience or one year of medical coding experience.
Other Duties
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Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Allegiance is an EEO employer as defined by the EEOC.