JOB DESCRIPTION:

Under general direction, this position supervises the daily coding functions for Pafford Medical Billing Services

QUALIFICATIONS:

• Knowledge of Medicare and Medicaid regulations as they pertain to ambulance billing.
• Knowledge of and complete and thorough understanding of HIPAA.
• Knowledge of health care financial management systems and processes.
• Knowledge of medical, insurance, and healthcare terminology, industry regulations, and requirements.
• Knowledge of the International Certification of Disease codes for medical impressions and ambulance

transportation codes.

• Knowledge of complicated multi-system medical terminology and general anatomy.
• Knowledge of coding audits and Federal, State, and Local rules and regulations regarding medical claims.
• Knowledge of supervisory and managerial techniques and processes.
• Skill in oral and written communications.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Associate Degree or a Certified Ambulance Coder (CAC)
• Minimum of 7 years of coding in Ambulance Claims

OTHER REQUIREMENTS:

• Position will work out of the Oklahoma City and Hope, AR office and remotely.
• Must be willing to travel between OKC and Hope at least 1 week a month.
• Must have access to high-speed internet-at least 20mbps download, and must be hardwired
• Candidate must live in AR, KS, LA, MS, OK, or TK

PHYSICAL REQUIREMENTS:

• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other

federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.

• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local

standards.

• The employee may occasionally be required to lift and/or move up to 20 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,

depth perception, and the ability to adjust focus.

• Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
• Must be able to talk, listen and speak clearly on telephone.
• Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Travel Time: Minimum One Week a Month
NOTE: The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified

1. Coordinates and ensures adherence to quality standards, deadlines, and proper procedures of work performed
   by coding employees.
2. Fosters a sense of teamwork and motivates team to perform assigned functions and achieve objectives.
3. Maintains a working knowledge of the department’s billing system software applications, including all reporting,
   billing, and administrative functions.
4. Receives and resolves escalated customer service calls from the public, third-party payers, and insurance
   carriers.
5. Creates and maintains billing policies and procedures by partnering with the Revenue Cycle Manager.
6. Provides account oversight as required for each payer type; and completes Medicare, Medicaid, and insurance
   reviews.
7. Identifies billing trends and makes necessary system changes.
8. Develops, maintains, and facilitates training on any necessary regulatory changes affecting the department’s
   billing functions. Identifies training needs of staff and assigns staff to participate in relevant training.