Medical Coder/Biller –
Ambulance Specialty is responsible for accurately reviewing, coding, and processing ambulance service documentation for billing and reimbursement purposes. The role involves assigning appropriate HCPCS, ICD-10-CM, and modifier codes to ground and air ambulance claims while ensuring compliance with Medicare, Medicaid, commercial payer guidelines, and industry regulations.
Key Responsibilities
- Review ambulance trip reports, patient care reports (PCRs), physician certifications, and supporting medical documentation.
- Assign accurate HCPCS ambulance transport codes, mileage codes, origin/destination modifiers, and ICD-10 diagnosis codes.
- Verify medical necessity documentation for emergency and non-emergency ambulance transports.
- Ensure compliance with CMS, Medicare, Medicaid, and commercial payer coding guidelines.
- Identify and correct coding errors, omissions, and documentation deficiencies.
- Work closely with billing, collections, compliance, and clinical staff to resolve claim issues.
- Review denied or rejected claims and provide coding corrections or appeals support.
- Maintain productivity and quality standards while meeting coding turnaround times.
- Stay current with coding updates, regulatory changes, and payer-specific requirements.
- Participate in internal audits and quality assurance initiatives.
Required Qualifications
- High School Diploma or equivalent; Associate’s or Bachelor’s degree preferred.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification preferred.
- 1–3 years of medical coding experience, preferably in ambulance, emergency medical services (EMS), or transportation billing.
- Strong knowledge of:
- ICD-10-CM coding
- HCPCS Level II ambulance codes
- CMS ambulance billing regulations
- Origin and destination modifiers
- Medicare and Medicaid reimbursement guidelines
- Proficiency in electronic health records (EHR) and medical billing software.
- Strong analytical, organizational, and problem-solving skills.
- Excellent written and verbal communication abilities.
Preferred Qualifications
- Experience coding:
- Ground ambulance services (BLS, ALS1, ALS2, SCT)
- Air ambulance services (fixed-wing and rotary-wing)
- Non-emergency transportation claims
- Knowledge of NCCI edits, LCDs, and payer-specific ambulance billing requirements.
- Prior experience with ambulance revenue cycle management.
Key Skills
- Medical coding accuracy
- Ambulance billing and reimbursement
- Documentation review
- Claims analysis and denial resolution
- Attention to detail
- Regulatory compliance
- Time management
- Microsoft Office and billing software proficiency
Pay: ₹15,000.00 - ₹35,000.00 per month
Benefits:
- Flexible schedule
- Health insurance
- Paid sick time
- Paid time off
- Work from home
Work Location: Hybrid remote in Chennai, Tamil Nadu (Chennai, Chennai District)
