Skills

Communication Problem Solving Quality Assurance Attention to detail

Job Specifications

Company Description :
Job Summary :
We are seeking a knowledgeable and detail oriented Certified Ambulance Biller/Coding Specialist to join our billing team. This role is responsible for reviewing patient care reports, applying proper ambulance billing codes, ensuring compliance with federal and state regulations, and submitting clean claims for timely reimbursement. The ideal candidate understands EMS industry billing practices and has experience with accurate documentation review and denial prevention.
Responsibilities :
Review Patient Care Reports (PCRs), run sheets, and supporting documentation for accuracy and completeness.
Apply correct ambulance billing codes, including HCPCS, CPT, and ICD 10, according to documentation and payer requirements.
Determine appropriate levels of service (BLS, ALS1, ALS2, SCT, mileage, etc.) based on medical necessity and documentation.
Enter and validate charges in the billing system prior to claim submission.
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines.
Identify missing or insufficient documentation and coordinate follow up with field staff or supervisors.
Process claims, resolve edits, and prepare bills for submission.
Review and correct returned or denied claims to support quick resolution.
Maintain accurate records and meet productivity/quality benchmarks.
Stay current on EMS billing regulations, compliance updates, and coding changes.
Assist with internal audits and quality assurance reviews as needed.
Strong understanding of medical-necessity requirements
Knowledge of reimbursement guidelines and compliance laws (HIPAA, CMS regulations)
Accuracy in data entry and coding
Ability to work independently while meeting deadlines
Comfortable collaborating with EMS crews, supervisors, and the billing team
Requirements :
Required: Certification as a Certified Ambulance Coder (CAC), Certified Ambulance Documentation Specialist (CADS), or equivalent EMS billing certification.
Preferred: Additional certifications such as CPB, CPC, or other medical billing/coding credentials.
1-3 years of ambulance billing, medical billing, or coding experience (preferred but not required with proper certification).
Strong knowledge of Medicare and Medicaid ambulance billing rules.
Ability to read and interpret medical documentation and apply proper codes.
High attention to detail with strong analytical and problem solving skills.
Excellent communication and follow up abilities.
Proficiency with billing software systems and Microsoft Office applications.
Education : Associate Degree
Benefits :
While working with OneStaff Medical you will enjoy top-tier benefits such as:
401K
Car Allowance
Concierge
Eat Well
Employee Assistance Program
Flex Hours
Free Direct Deposit/Weekly Pay
Game Rooms
Gym Privileges
HealthJoy
In-House Chiropractor
In-House Massage Therapist
Life Insurance
Long/Short Term Disability
Pet Insurance
Equal Opportunity Employer

About the Company

Travel. Work. Your Own Way. Consistently recognized by Inc. 5000 as one of the fastest growing privately-held companies in the U.S., OneStaff Medical walks that line between the "flexible start up" mentality and still offering the great perks of some larger corporate 'best places to work.' Our humble travel nurse and allied healthcare recruiting agency, was founded in 2010 with the intention of wanting to have a more personal touch for the travelers we hire. We saw a disconnect in the bigger healthcare staffing agencies, and... Know more