Job Title: Coding Specialist
Reports to: Director of Revenue Cycle Management
Through: Billing Operations Manager
Department: Revenue Cycle Management
Location: Remote or in-house
FLSA Status: Non-Exempt
POSITION SUMMARY:
The Coding Specialist is responsible for timely and accurate claim processing, including coding, verifying payers, working denials and rejections, and posting payments. This role interacts with internal staff, patients, customers, vendors, and collections agencies to ensure billing is completed accurately and efficiently to maximize accounts receivable.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Enter correct ICD-10, CPT, and other required codes and modifiers on claims
Enter accurate charges based on payer regulations
Communicate professionally with customers
Work with payers to secure timely payment
Verify payer coverage using available resources
Maintain knowledge of payer regulations, filing deadlines, payment policies, and appeals processes
Represent the organization professionally at all times
Answer inbound calls from customers, vendors, and others
Communicate effectively with facilities, employees, and vendors
Work both independently and as part of a team while maintaining high standards
NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:
Perform other duties as assigned
PHYSICAL REQUIREMENTS:
Not applicable
MINIMUM QUALIFICATIONS:
Two (2) years of ambulance coding experience
Ability to work independently
Strong understanding of federal reimbursement guidelines
High level of computer proficiency
Excellent interpersonal skills
Service-oriented mindset
EDUCATION / LICENSING / CERTIFICATION:
Preferred: Current state certification as EMT, EMT-A, or Paramedic
Preferred: CAC certification
High school diploma required
Valid state driver’s license
OTHER KNOWLEDGE AND SKILLS:
Maintains professional competence and supports team competency
Maintains HIPAA compliance
Strong multitasking ability in a fast-paced environment
Adheres to professional standards of practice and ethics
Maintains confidentiality of sensitive information unless legally required to disclose
Upholds company policies and procedures
Knowledge of common illnesses, symptoms, and medical conditions
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