CAC - Certified Ambulance Coder

Overview

At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.

Job Summary

This position is geared toward verification of transport and patient data as well as compliant coding and billing with appropriate payer claims specifications and accompanying documentation. This position performs demographic and medical coverage verification, identifies transport call, response and mission type disparities and reviews for appropriate vehicle type, pickup, drop off locations, mileage, and transport dates, and assigns the appropriate Level of Service and Diagnosis Codes to all ambulance claims. The position is responsible for document retrieval and professional communication with Customers, Call Centers and facility Patient Financial Services Staff. Applicant must have 2-5 years of experience with medical billing and claim submission. This position requires a candidate that is highly detail oriented, able work in a fast-paced environment with high volume, accurate data entry.

Essential Functions

• Verify accurate data completion by Communication / Dispatch Specialists and Medical Clinicians, in accordance with established processes. Details to include patient locations, loaded mileage and patient demographics.
• Thoroughly and appropriately document all activities in patient account notes in accordance with established processes.
• Retrieve, retain and interpret Federal and Industry Standard Signature Documents, ensuring uniformed and compliant billing practices and clean claim submission.
• Perform data entry of patient demographic information and charges, within billing software, as appropriate for claims submission and financial reporting.
• Perform in-depth sponsor review investigations to identify, collect, and confirm third party liability and coordination of benefits insurance coverage.
• Interact on an as needed basis, with leadership, customers, crew members, law enforcement agencies, insurance companies, patients and hospital patient information systems to collect additional patient and payer demographic information.
• Performs 'Medicare as a Secondary Payor (MSP)' review, coordination of benefits and generate invoices to patients as needed.
• Apply the appropriate level of service for the transport provided using the Customer Scope of Practice.
• Assign the most accurate diagnosis codes from the crew documentation ensuring highest level of specificity and considering payor guidelines or local coverage determination requirements.
• Assign modifiers appropriate to the locations for the transport as well as any payor required modifiers.
• Initiate insurance billing transactions; transmit electronically and / or prepare claims packets for payers in accordance with payer specific claim requirements.
• Screens for clean claims submission pursuant to payer specific guidelines, and billing form requirements.
• May assist with billing / collection tasks as assigned.
• Required to act as back-up support in the performance of client financial liaison duties
• Other responsibilities as assigned.

Dimensions

About ZOLL

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

Compensation & Benefits

The hourly rate for this position can range from $18 to $22. The actual compensation may vary outside of this range depending on geographic location, work experience, education, and skill level. Details on ZOLL's comprehensive benefits plans can be found at www.zollbenefits.com.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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