Medical Coder

Job Title

Medical Coding Specialist

Job Description

The Medical Coding Specialist is responsible for assigning accurate ICD-10 and HCPCS codes according to clinical documentation and official coding guidelines for ambulance services providers. This role requires working knowledge of medical billing, medical terminology, and the Health Insurance Portability and Accountability Act (HIPAA). The candidate must have excellent time management skills, the ability to work independently and in a team, and must possess a valid driver's license.

The position requires the ability to successfully pass a background check and drug screen to the satisfaction of the organization. Essential functions of the position include:

• Assign accurate ICD-10 and HCPCS according to clinical documentation and official coding guidelines for ambulance services providers.
• Review modifiers to ensure location for origin and destination are correct.
• Monitor assigned work queues to ensure all records are processed in a timely manner, while ensuring defined productivity is met.
• Monitor the accuracy of patient demographic and insurance information.
• Validate that required signatures are in place prior to claim submission.
• Maintain a working knowledge of insurance and/or special handling requirements as they pertain to coding for ambulance services.
• Maintain confidentiality of all patient care information to ensure patient rights are protected.
• Ensure all work adheres to official coding guidelines and regulatory standards.
• Maintain knowledge of current industry standards and ensure organizational coding practices align.
• Understand revenue cycle key performance indicators and work to achieve the KPIs of the team.
• Maintain knowledge of current industry standards and organizational practices and work in a manner that supports a patient centered, team focused, and fiscally responsible organization.
• Communicate with other team members and leaders on identified trends and process improvement opportunities.
• Conduct self in a professional manner that reflects the mission, vision, and values of EMSA.
• Adherent to all organizational policies and work with the highest level of integrity.
• Perform other duties as assigned.

Punctuality and regular, predictable, reliable, consistent attendance are essential. Other essential functions include professionalism, the ability to communicate effectively (verbally and in writing), maintaining confidentiality, exercising sound judgment, being adaptable and flexible, following safety and compliance protocols, being accountable, complying with the Code of Conduct, organizational policies, procedures, practices, and expectations, and performing the core duties of the position either with or without a reasonable accommodation.

Other functions of the position include:

• Performs other job-related duties, functions, tasks, and responsibilities as assigned, which may vary based on evolving organizational needs and priorities. These responsibilities are not considered essential functions of the position and may be modified or reassigned to accommodate individuals with disabilities, in accordance with the Americans with Disabilities Act (ADA) as amended.

Knowledge, skills, abilities, and other characteristics include:

• Proficient with Microsoft Office Suite
• Self-driven attitude with ability to meet organizational
• Ability to work independently and with a group and maintain good working

Supervisory responsibilities:

• This position does not have supervisory or management responsibilities of other employees.

Physical demands:

• Hearing and talking to interpret job functions are frequently required and frequent visual ability to judge distance and space and clarity up to 20 ft.
• Occasionally may need to lift pull or pull objects up to 25 lbs. in all directions.

Work environment:

• Work is generally performed in an office sitting at a desk for prolonged periods with frequent repeating motions that may include wrists, hands, and fingers.
• Limited exposure to external environmental conditions, such as heat, cold, rain, snow and

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.