Lake County Board of County Commissioners
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EMS Coding & Quality Review Specialist
Job Details
Posting Number:
26-11-13-3854
Pay Grade: 17N (Salary: $21.20 - $31.94 per hour) USD
Agency / Dept. / Office: Fire Rescue - Administration
Closing Date: Open Until Filled
Pay Grade: 17N (Salary: $21.20 - $31.94 per hour) USD
Agency / Dept. / Office: Fire Rescue - Administration
Closing Date: Open Until Filled
Job Summary:
Perform duties to interpret, code, and prepare patient care reports for Medicare, Medicaid or insurance billing, review and process rejected claims through rebilling and appeals, and prepare documentation for medical quality assurance review of defined significant cases, working within the limits of standard or accepted practice.
May be required to assist with emergency support functions in the event of a declared emergency and/or any other emergency duties as assigned.
May be required to assist with emergency support functions in the event of a declared emergency and/or any other emergency duties as assigned.
Minimum Qualifications:
Any equivalent combination of education, training and experience may be considered.
Requirements:
High school graduate, two-year medical office billing experience; EMS billing experience preferred.
Experience:
Skill in typing/keyboarding and in using 10 key keypad, ability to operate a personal computer with Microsoft Windows and Microsoft Word processing software, knowledge of various filing systems. Ability to file documents in chronological, alphabetical, or subject files, skill in basic mathematics. Knowledge of Medical Billing Codes. Knowledge of health insurance claims procedures. Ability to review run reports for proper codes. Knowledge of Medicare guidelines for medical necessity, ability to present factual information to justify medical necessity at claim hearings, ability to deal with customers respectfully and with tact and diplomacy, ability to operate various office machines including copier, fax machine, printers, etc. Knowledge of HIPAA requirements.
Requirements:
High school graduate, two-year medical office billing experience; EMS billing experience preferred.
Experience:
Skill in typing/keyboarding and in using 10 key keypad, ability to operate a personal computer with Microsoft Windows and Microsoft Word processing software, knowledge of various filing systems. Ability to file documents in chronological, alphabetical, or subject files, skill in basic mathematics. Knowledge of Medical Billing Codes. Knowledge of health insurance claims procedures. Ability to review run reports for proper codes. Knowledge of Medicare guidelines for medical necessity, ability to present factual information to justify medical necessity at claim hearings, ability to deal with customers respectfully and with tact and diplomacy, ability to operate various office machines including copier, fax machine, printers, etc. Knowledge of HIPAA requirements.