Risk Adjustment Coding Specialist supporting risk adjustment efforts through chart reviews and provider education. Estimated travel up to 75% in Inland Empire region, specifically LA or Orange County.
About the role
- Experienced ambulance billing coder for a Michigan EMS provider responsible for accurate insurance claim inputs and coding according to CMS guidelines.
Responsibilities
- Input all claim information following the CMS coding guidelines.
- Provides accurate patient demographic and insurance information and inputs information into patient record.
- Review patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of service, origin/destination modifiers and patient condition at the of transport.
- Assign condition codes for the reason(s) for the trip with 95% accuracy.
- Meets established minimum coding productivity standards as defined by Medstar.
- Maintain patient confidentiality and information security
- Maintain working knowledge of ICD-10, CPT and HCPCS coding.
- Comply with all legal requirements regarding coding procedures and practices.
- Perform other duties as assigned.
Requirements
- High School diploma or GED
- Previous experience with Ambulance billing using Traumasoft or Zoll Operating procedures preferred
- Strong computer and data entry skills
- Excellent typing and 10-key skills with (40WPM)
- Knowledge of medical terminology and anatomy
- Strong attention to detail
- Excellent communication skills (including verbal and written)
- Strong organizational abilities
- CAC certification preferred
Benefits
- Medical, Dental, Vision, FSA, and much more!
- 401K with employer matching
- Paid time off
- Tuition reimbursement
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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