Ambulance Billing and Coding Specialist

Position Summary

We are 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.

Compensation

• Competitive pay based on experience and certifications

• $22.00 - $26.00 based on experience

Schedule

• Full-time position

• Flexible schedule

Benefits

• Health, dental, and vision insurance

• Paid time off

• 401(k) options

• Opportunities for advancement within the organization

Duties and Responsibilities

• 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

Qualifications

• 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

Education and Experience

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

Additional qualifications considered:

• EMT or Paramedic with a minimum of 2 years of field experience

• Experience with EMS billing software, claims auditing, or NEMSIS documentation review preferred

Preferred Skills

• 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

Work Environment

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.

MedEx is an Equal Opportunity / Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to disability, race, color, veteran status, religion, sex, or national origin.

We want all interested and qualified candidates to apply for employment opportunities. If you are a U.S. applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at 847-673-6333 or email [email protected]. Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.