Coder/Charge Entry Specialist

MOBILE MEDICAL RESPONSE INC • Saginaw Charter Township, MI

18h • Onsite

About The Position

The Coder/Charge Entry Specialist determines appropriate payer, charges, diagnosis and other information necessary to accurately bill for services.

Requirements

• Two or more years of medical billing experience including appeals resolution
• Must be well versed in daily operations as it pertains to the ambulance industry and operations
• Must proficiently use insurance websites i.e., C-Snap, Champs, Web Denis, etc., 2 months after date of hire
• Reading skills to comprehend correspondence and materials specific to the healthcare industry
• Writing skills to compose complex correspondence or reports with minimal direction provided
• Must demonstrate ability to maintain security and confidentiality with utmost discretion
• Ability to communicate effectively both verbally and in writing, in the English language
• Ability to organize tasks and insure timely completion of all projects
• Advanced computer skills including the ability to utilize a computer PC with Windows operating system
• Ability to operate office equipment, including but not limited to, copier, fax machine, scanner, monitor, multi-line telephone, printer, and calculator
• Proficiency with Microsoft Word and Excel
• Regular attendance and timeliness
• Skilled in typing, data entry, scanning, electronic filing and document retrieval
• High School Diploma
• Must be at least 18 years old
• Suitable dexterity to operate standard office equipment.
• Capability to stand or sit for extended periods of time.

Responsibilities

• Know and support the Mission Statement, Policy/Procedures and standards of MMR.
• Review dispatch information and patient care reports along with other documents to accurately determine service type, level, diagnosis, medical necessity, charges and payer, for assigned days (even/odd).
• Code the patient diagnosis code utilizing the ICD10 coding system.
• Select the correct HPPCS code.
• Understand proficiently Tier 1/Tier 2, ALS 1 with and w/o ProQA/EMD) ALS 2, SCT/Neonate/Emergency and non-emergency transports and how these assist in determining the charges.
• Understand proficiently EMT-Basic, EMT-Paramedic, Specialty Care Transport (SCT) trained staff.
• Complete narrative and ambulance certification areas.
• Places claim in appropriate schedule i.e., Auto 1/Neonate 1/Care/Caid, etc.
• Verify the claim.
• Maintains HIPAA compliance.
• Perform and assist with other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED