医疗编码专员 - Digitech - 远程
Medical Coding Specialist - Digitech - Remote
Sarnova集团旗下公司包括Digitech Computer、Bound Tree Medical、Tri-anim Health Services和Cardio Partners。
Digitech是为急救医疗转运行业提供先进计费和技术服务的领先供应商。自1984年成立以来，Digitech不断优化其软件平台，打造了一个基于云的计费和商业智能解决方案，用于监控和自动化整个急救医疗收入生命周期。Digitech利用其专有技术，提供全面外包服务，以最大化回款、保护合规性，并为客户带来成果。
简介：
医疗编码专员负责对急救医疗转运索赔进行详细审查和编码，以确保准确性、合规性和适当的报销。该职位需确定正确的服务级别，验证医疗必要性，确定适当的付款人路由，并确保所有用于释放索赔的文档完整准确。理想的候选人具备强大的临床判断力、卓越的细节关注能力以及对急救医疗或医疗计费实践的了解。具有急救员、急救技术员、护士、执业护士或之前从事紧急医疗索赔编码经验者优先考虑。
这是一项远程办公岗位，可在家中工作。医疗编码专员的工作时间为周一至周五，上午8:00至下午4:30（东部时间）。
主要职责和要求：
- 在提交索赔前，彻底审查索赔，以分配准确的服务级别、正确的承运人和其他所有必要的计费细节
- 评估文档是否符合医疗必要性、服务级别的适当性以及付款人特定和监管编码要求
- 验证所有必要的签名、文档要素和临床指标，以支持正确的索赔处理
- 识别、研究并纠正患者信息、事件详情、服务级别和计费数据中的差异
- 验证行程里程和服务详情，调查差异并确保所有数据点与原始文档一致
- 运用急救医疗编码规则、医疗保险/医疗补助指南和商业付款人要求，以确保准确计费
- 管理每天大量的索赔，持续满足生产目标和准确率标准
- 对所有编码操作、更新和索赔修改保持详尽且合规的文档记录
- 在需要时与内部合作伙伴进行专业沟通以澄清问题
查看英文原文
The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners.
Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.
Summary:
The Medical Coding Specialist is responsible for performing detailed review and coding of EMS transport claims to ensure accuracy, compliance, and appropriate reimbursement. This role assigns the correct level of service, validates medical necessity, determines appropriate payer routing, and ensures that all documentation required to release a claim is complete and accurate. The ideal candidate brings strong clinical judgment, exceptional attention to detail, and working knowledge of EMS or medical billing practices. Experience as a Paramedic, EMT, RN, LPN, or prior experience coding emergency medical claims is highly preferred.
This is a remote, work from home position. The Medical Coding Specialist works Monday–Friday, 8:00 a.m. – 4:30 p.m. Eastern Time.
Essential Duties and Responsibilities:
- Review claims thoroughly to assign accurate levels of service, correct carriers, and all other required billing details prior to claim submission
- Evaluate documentation for medical necessity, appropriateness of the service level, and compliance with payer specific and regulatory coding requirements
- Verify all required signatures, documentation elements, and clinical indicators needed to support proper claim adjudication
- Identify, research, and correct discrepancies in patient information, incident details, service levels, and billing data
- Validate trip mileage and service details, investigating variances and ensuring all data points match source documentation
- Apply knowledge of EMS coding rules, Medicare/Medicaid guidelines, and commercial payer requirements to ensure accurate billing
- Manage a high daily claim volume, consistently meeting productivity targets and accuracy standards.
- Maintain thorough and compliant documentation for all coding actions, updates, and claim modifications
- Communicate professionally with internal partners as needed to clarify documentation or resolve coding questions
- Additional job duties as assigned
Skills/Experience Required:
- Education: High School Diploma or equivalent required
- Superior attention to detail, strong follow through, and the ability to consistently meet daily deadlines
- Experience as a Paramedic, EMT, RN, LPN, or prior experience coding emergency medical or pre hospital care claims is preferred
- Knowledge of medical billing processes, claim workflows, and healthcare documentation standards
- Strong computer proficiency, including working knowledge of MS Outlook, Word, and Excel.
- Minimum typing speed of 40 WPM with a high level of accuracy
- Ability to work independently in a remote environment, maintaining focus and productivity in a quiet workspace
- Strong organizational and time management skills, with the ability to prioritize and manage a large workload
- Experience working in metrics driven environments or performance scored roles is helpful
- Excellent verbal and written communication skills, with the ability to convey information clearly and professionally
- Demonstrated accountability, reliability, and willingness to seek clarification when needed
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled.
Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.
#digitech
Originally posted on Himalayas