Ambulance Billing and Coding Specialist

Overview

Med Ex Ambulance is seeking an experienced and detail-oriented Ambulance Billing and Coding Specialist to support our EMS Revenue Cycle operations. This role is responsible for accurate ambulance claim submission, coding review, insurance verification, denial management, and compliance with Medicare, Medicaid, HIPAA, and other regulatory requirements. The ideal candidate will possess strong knowledge of ambulance billing, medical coding, reimbursement processes, and insurance regulations.

• Competitive pay based on experience and certifications

• Health, dental, and vision insurance
• Paid time off
• 401(k) options
• Opportunities for advancement within the organization

• Research and review all information necessary to complete accurate ambulance billing processes, including assignment of billing charge codes, HCPCS codes, and ICD-10 diagnosis codes
• Prioritize workflow to ensure timely and accurate claim submission and reimbursement
• Review claims for completeness and compliance prior to submission
• Analyze and resolve complex claim, reimbursement, and denial management issues
• Verify billing requirements, insurance coverage, authorizations, and benefits eligibility
• Maintain current knowledge of Medicare ambulance billing guidelines, Medicaid requirements, HIPAA regulations, and commercial insurance policies
• Identify and communicate documentation trends, deficiencies, and quality assurance concerns to leadership
• Collaborate effectively with billing, coding, dispatch, and operational departments as needed
• Assist with continuous process improvement initiatives related to revenue cycle management (RCM), claims processing, and billing operations
• Support accounts receivable (AR) follow-up and appeals processes as needed

• Knowledge of ambulance billing procedures and diagnostic coding, including HCPCS and ICD-10 codes
• Strong understanding of medical terminology, claims processing, denials management, and reimbursement practices
• Ability to analyze information and solve complex billing and coding issues
• Knowledge of insurance regulations, billing requirements, coverage guidelines, and benefits eligibility
• Ability to work independently and collaboratively within a team environment
• Proficiency in Microsoft Word and Excel
• Strong organizational, communication, and interpersonal skills
• Ability to maintain effective working relationships and confidentiality
• Typing speed of at least 35 words per minute

• Candidates must meet one of the following qualifications:
• Minimum of 2 years of ambulance coding or EMS billing experience; OR
• Minimum of 1 year of ambulance coding experience with current certification as a Certified Ambulance Coder (CAC) or other recognized medical coding credential
• EMT or Paramedic with a minimum of 2 years of field experience
• Experience with EMS billing software, claims auditing, or NEMSIS documentation review preferred

• Strong attention to detail and accuracy
• Ability to manage multiple priorities in a fast-paced environment
• Commitment to compliance and confidentiality standards
• Experience identifying process improvements and documentation trends
• Strong problem-solving and critical-thinking abilities
• Knowledge of revenue cycle management (RCM) and ambulance reimbursement practices

This position may involve working independently while also collaborating closely with billing, coding, and operational teams to support efficient revenue cycle management and accurate reimbursement processes. The ideal candidate will be adaptable, dependable, and capable of maintaining high levels of accuracy in a fast-paced healthcare environment.