EMS Billing Specialist

Company Overview

Cornerstone Adminisystems, Inc. is an employee-owned company, founded in 1994 with a sole focus on serving the EMS industry. We deliver comprehensive billing and revenue cycle management solutions with a total commitment to delivering the best possible result for every client, every day.

Responsibilities

The Coding Analysis (CA) Specialist is responsible for accurate coding of ambulance claims in order to obtain proper reimbursement from insurance companies, government healthcare programs, such as Medicare and other responsible parties. The CA Specialist must acquire proficiency in medical terminology and analyzing clinical data to identify all conditions, reasons for treatment, services and procedures performed and to assign the appropriate HCPCS and ICD10 codes to each claim. The CA Specialist must remain compliant with all client outlined specifications, while adhering to federal, state and local guidelines.

Duties include:

• Read and interpret transport and clinical data to ensure proper documentation has been provided to accurately generate a clean claim
• Use clinical data to determine the medical necessity of an ambulance transport
• Proper application of HCPCS and ICD10 codes to properly classify conditions related to the complaints communication during an patient encounter
• Accurately and timely transcription of data from various client ePCR trip programs into our billing program, RescueNet dispatch
• Identify the need to request additional or missing information from various sources such as Client Services, hospitals, insurances, Skilled Nursing and Custodial extended care facilities when applicable
• Obtain and update patient information including, demographics, and insurance information
• Workflow management
• Responds to interdepartmental inquiries regarding CMS billing principles and industry-related regulations, practices and client specifications
• Provide direct supervisor with ideas and suggestions for system updates and procedural improvements
• Complete departmental related projects as needed
• Complete all additional duties as assigned

Requirements

Knowledge

• Certification in Medical Billing and Coding, Healthcare; or equivalent combination of education and experience
• Understanding of medical terminology/abbreviations, anatomy and physiology, insurance, Medicare and Medicaid billing procedures and general practices
• Ambulance billing guidelines and regulations preferred but not required
• General computer proficiency and knowledge of Microsoft Office applications
• Math, Grammar, and spelling proficiency

Skills/Attributes

• Ability to process high volume of data on a day-to-day basis
• Ability to multitask and meet deadlines
• Maintain positive attitude and flexibility
• Strong communicator, written and verbal
• Detail oriented and accurate
• Approaches change as an opportunity for growth and development in self and others
• Team player

Job Type: Full-time

Job Type: Full-time

Pay: $16.00 - $17.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Ability to Commute:

• New Cumberland, PA 17070 (Required)

Ability to Relocate:

• New Cumberland, PA 17070: Relocate before starting work (Required)

Work Location: In person