Medical Coding Specialist - Digitech - Remote

Sarnova

3d•Remote

About The Position

The Medical Coding Specialist is responsible for performing detailed review and coding of EMS transport claims to ensure accuracy, compliance, and appropriate reimbursement. This role assigns the correct level of service, validates medical necessity, determines appropriate payer routing, and ensures that all documentation required to release a claim is complete and accurate. The ideal candidate brings strong clinical judgment, exceptional attention to detail, and working knowledge of EMS or medical billing practices. Experience as a Paramedic, EMT, RN, LPN, or prior experience coding emergency medical claims is highly preferred. This is a remote, work-from-home position. The Medical Coding Specialist works Monday–Friday, 8:00 a.m. – 4:30 p.m. Eastern Time.

Requirements

High School Diploma or equivalent required
Superior attention to detail, strong follow-through, and the ability to consistently meet daily deadlines
Knowledge of medical billing processes, claim workflows, and healthcare documentation standards
Strong computer proficiency, including working knowledge of MS Outlook, Word, and Excel.
Minimum typing speed of 40 WPM with a high level of accuracy
Ability to work independently in a remote environment, maintaining focus and productivity in a quiet workspace
Strong organizational and time-management skills, with the ability to prioritize and manage a large workload
Excellent verbal and written communication skills, with the ability to convey information clearly and professionally
Demonstrated accountability, reliability, and willingness to seek clarification when needed
Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Nice To Haves

Experience as a Paramedic, EMT, RN, LPN, or prior experience coding emergency medical or pre-hospital care claims is preferred
Experience working in metrics-driven environments or performance-scored roles is helpful

Responsibilities

Review claims thoroughly to assign accurate levels of service, correct carriers, and all other required billing details prior to claim submission
Evaluate documentation for medical necessity, appropriateness of the service level, and compliance with payer-specific and regulatory coding requirements
Verify all required signatures, documentation elements, and clinical indicators needed to support proper claim adjudication
Identify, research, and correct discrepancies in patient information, incident details, service levels, and billing data
Validate trip mileage and service details, investigating variances and ensuring all data points match source documentation
Apply knowledge of EMS coding rules, Medicare/Medicaid guidelines, and commercial payer requirements to ensure accurate billing
Manage a high daily claim volume, consistently meeting productivity targets and accuracy standards.
Maintain thorough and compliant documentation for all coding actions, updates, and claim modifications
Communicate professionally with internal partners as needed to clarify documentation or resolve coding questions
Additional job duties as assigned