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CAC - Certified Ambulance Coder

CAC - Certified Ambulance Coder

ZOLL Medical CorporationRaleigh, NC, US
12 hours ago
Job type
  • Full-time
Job description

Acute Care Technology

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.

ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS, fire, and billing / accounts receivable (AR) teams to deliver more—from better patient outcomes to operational efficiencies and greater revenue capture. Our mission is to help save more lives through data-driven innovation and interoperability, enabling our customers to achieve high levels of care, collaboration, and reimbursement.

Job Summary :

This role involves verifying transport and patient data, ensuring compliant coding and billing according to payer claims specifications and documentation. Responsibilities include demographic and medical coverage verification, identifying disparities in transport calls, response, and mission types, reviewing vehicle types, locations, mileage, and dates, and assigning appropriate Level of Service and Diagnosis Codes to ambulance claims. The role also entails document retrieval, professional communication with customers, call centers, and facility Patient Financial Services staff. Candidates should have 2-5 years of medical billing and claim submission experience, with a high attention to detail and the ability to work efficiently in a fast-paced, high-volume environment.

Essential Functions :

  • Verify data accuracy from Communication / Dispatch Specialists and Medical Clinicians, including patient locations, mileage, and demographics.
  • Document all activities thoroughly in patient account notes following established processes.
  • Retrieve, retain, and interpret federal and industry standard signature documents to ensure compliant billing and clean claim submission.
  • Enter patient demographic information and charges into billing software for claims submission and financial reporting.
  • Conduct sponsor review investigations to identify, collect, and confirm third-party liability and insurance coverage.
  • Interact with leadership, customers, crew members, law enforcement, insurance companies, patients, and hospital systems to gather additional patient and payer information as needed.
  • Perform Medicare secondary payor reviews, coordinate benefits, and generate invoices to patients when necessary.
  • Apply the appropriate level of service based on the scope of practice.
  • Assign accurate diagnosis codes, ensuring specificity and compliance with payor guidelines.
  • Apply necessary modifiers for locations and payor requirements.
  • Initiate insurance billing transactions, transmit claims electronically, or prepare claim packets per payer requirements.
  • Ensure claims are clean and compliant with payer guidelines.
  • Assist with billing and collection tasks as needed.
  • Provide backup support for client financial liaison duties.
  • Perform other responsibilities as assigned.

Dimensions :

  • Work independently with a strong customer focus.
  • Analyze and make sound billing and collection decisions aligned with department goals.
  • Approach issues objectively and participate in resolution with team members.
  • Maintain professional appearance and communication standards.
  • Communicate effectively within hospital systems.
  • Learn company procedures proactively.
  • Collaborate well within a team environment.
  • Uphold professionalism, patient advocacy, and confidentiality according to HIPAA and company policies.
  • Understand compliance, regulatory bodies, and payer requirements in depth.
  • Represent the company positively and professionally.
  • No supervisory or budget responsibilities.
  • Focus on continuous improvement, learning, accountability, and teamwork.
  • ZOLL is a rapidly growing company operating in over 140 countries. Our culture values innovation, self-motivation, and an entrepreneurial spirit. Join us to improve outcomes for underserved patients with critical cardiopulmonary conditions and help save lives.

    The hourly rate ranges from $24 to $27, depending on location, experience, education, and skills.

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

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