Medical Coding Specialist - Digitech - Remote

Sarnova

145d•Remote

About The Position

The Medical Coding Specialist reviews and codes EMS transport claims to ensure accuracy, compliance, and appropriate reimbursement. The role assigns the correct service level, validates medical necessity, determines payer routing, and confirms that claim documentation is complete and accurate before release. It requires strong clinical judgment, attention to detail, and working knowledge of EMS or medical billing practices. This is a remote, work-from-home position with a Monday–Friday schedule from 8:00 a.m. to 4:30 p.m. Eastern Time. The specialist manages a high daily volume of claims, meets productivity and accuracy standards, maintains documentation of coding actions and claim changes, and communicates with internal partners to clarify documentation or resolve coding questions.

Requirements

High school diploma or equivalent.
Superior attention to detail, strong follow-through, and 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 while maintaining focus and productivity in a quiet workspace.
Strong organizational and time-management skills, including 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 role, including required goals and business practices, in a remote environment.

Nice To Haves

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

Responsibilities

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