Coder/Charge Entry Specialist
About The Position
The Coder/Charge Entry Specialist determines the appropriate payer, charges, diagnosis, and other information needed to accurately bill for services. The role reviews dispatch information, patient care reports, and related documents to determine service type, level, diagnosis, medical necessity, charges, and payer. It codes diagnoses using ICD-10, selects the correct HPPCS code, completes claim documentation, places claims in the appropriate schedule, verifies claims, and maintains HIPAA compliance. The position also supports MMR's mission, policies, procedures, and standards and performs other duties as assigned. The work is primarily performed in a typical office setting, with daily exposure to other department areas. Regular in-person attendance is an essential function. Hours must be flexible to meet office demands.
Requirements
- Two or more years of medical billing experience, including appeals resolution.
- Well versed in daily operations related to the ambulance industry and its operations.
- Proficiency with insurance websites such as C-Snap, Champs, and Web Denis within two months after the date of hire.
- Reading skills sufficient to comprehend correspondence and materials specific to the healthcare industry.
- Writing skills sufficient to compose complex correspondence or reports with minimal direction.
- Ability to maintain security and confidentiality with utmost discretion.
- Ability to communicate effectively verbally and in writing in English.
- Ability to organize tasks and ensure timely completion of projects.
- Advanced computer skills, including use of a PC with a Windows operating system.
- Ability to operate office equipment, including a copier, fax machine, scanner, monitor, multi-line telephone, printer, and calculator.
- Proficiency with Microsoft Word and Excel.
- Regular attendance and timeliness.
- Skill 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 MMR's Mission Statement, policies, procedures, and standards.
- Review dispatch information, patient care reports, and other documents to determine service type, level, diagnosis, medical necessity, charges, and payer for assigned days.
- Code patient diagnoses using the ICD-10 coding system.
- Select the correct HPPCS code.
- Apply knowledge of ambulance transport types, service levels, and staff credentials to determine charges.
- Complete narrative and ambulance certification areas.
- Place claims in the appropriate schedule, such as Auto 1, Neonate 1, Care, or Caid.
- Verify claims.
- Maintain HIPAA compliance.
- Perform and assist with other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
