Medical Billing and Coding Specialist II

🔥 6 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Sarnova

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2008

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 $500k Venture Round - Sarnova on 2009-12

Healthcare • B2B • SaaS

Sarnova is a healthcare-focused distribution and services company whose family of businesses (including Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Digitech) supplies products, equipment, services and technology across the emergency medical services (EMS) and acute care continuum. For nearly 50 years the group has distributed more than 100,000 health and safety products to EMS providers, hospitals, schools, businesses and government agencies, and also provides respiratory/anesthesia/critical care solutions, AED sales and program management, CPR training, and a cloud-based EMS billing and business intelligence platform. Sarnova is a portfolio company of Patricia Industries/Investor AB.

📋 Description

• Utilize Master Billing Guides and other process instructions to review PCR for medical necessity, reasonableness, appropriate modifiers, level of service, ICD10 code and mileage • Complete the Billing quality scrub process • Review PCS for validity, if required • Review Medicare AOB, if required • Place claims on the appropriate tag when additional information is needed • Attend and actively participate in daily Billing team huddles • Consistently achieve Billing Specialist II performance and quality metrics • Provide accurate billing in compliance with regulatory requirements and internal policies and procedures • Demonstrate biller competency by achieving and maintaining billing accuracy scores meeting or exceeding expectations during quality assurance and audit activities • Adhere to Digitech HIPAA privacy policies and procedures, maintaining confidentiality and security of sensitive patient information • Perform additional job duties as assigned

🎯 Requirements

• High School Diploma or equivalent • 2+ years EMS Billing preferred • Certified Ambulance Coder (CAC) preferred • Demonstrated ability or willingness to attain QMC Biller Certification upon employment • Very detailed-oriented • Strong, working knowledge of EMS billing rules and regulations • Understanding of health insurance payor groups (Medicare, Medicaid, Commercial) • Ability to identify problems and escalate issues appropriately to a Billing Lead • Ability to quickly adapt, learn and retain changing rules and specifications by clients, payors, states and MAC regions • Quality-focused and driven by process • EMS billing platform knowledge preferred • Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

🏖️ Benefits

• Competitive salary, commensurate with experience • Comprehensive benefits package • 401(k) Plan • Remote work environment