Medical Billing Wholesalers jobs

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)