EMS Medical Coding Specialist

{
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  "source_hash": "68a17091337a816ff76f5dcc8bb3f91aa43c097884e2cf08d1538e701ddfd0ad",
  "last_changed_at": "2026-06-03T12:26:54.811Z",
  "active_status": "deleted"
}

{
  "language": "en",
  "location": {
    "raw": "Itasca, IL",
    "city": "Itasca",
    "region": "IL",
    "country": "United States",
    "is_remote": false,
    "confidence": 0.9
  },
  "salary_max": 32,
  "salary_min": 26,
  "inferred_at": "2026-06-01T11:00:55.994Z",
  "launch_scope": {
    "reason": "english_us_canada",
    "included": true,
    "language": "en",
    "location": {
      "raw": "Itasca, IL",
      "city": "Itasca",
      "region": "IL",
      "country": "United States",
      "is_remote": false,
      "confidence": 0.9
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": "hybrid",
  "salary_period": "week",
  "workplace_type": "hybrid",
  "salary_currency": "USD"
}

{}

{
  "lists": [
    {
      "text": "Medical Coding & Documentation:",
      "content": "\n<li>Review and abstract patient care reports (PCRs) to assign accurate ICD-10-CM diagnosis codes and HCPCS transport codes (A0426–A0436).</li>\n<li>Evaluate medical necessity documentation to support BLS, ALS-1, ALS-2, and specialty care transport (SCT) levels.</li>\n<li>Apply modifiers (e.g., QL, QM, QN) correctly for Medicare and Medicaid claims.</li>\n<li>Query EMS providers for incomplete or ambiguous clinical documentation in accordance with AHIMA query guidelines.</li>\n<li>Maintain coding accuracy rate of 95% or above on internal and external audits</li>\n"
    },
    {
      "text": "Billing & Claims Management:",
      "content": "\n<li>Submit clean claims to Medicare, Medicaid, and commercial payers following payer-specific guidelines.</li>\n<li>Review and resolve coding-related claim denials, underpayments, and appeals.</li>\n<li>Identify and escalate patterns of denial or documentation deficiency to management.</li>\n<li>Coordinate with billing staff to ensure seamless claims submission and follow-up.</li>\n"
    },
    {
      "text": "Compliance & Quality Assurance:",
      "content": "<div>\n\n<li>Ensure coding practices comply with OIG guidelines, HIPAA, and payer-specific policies.</li>\n<li>Participate in internal audits and respond to external audit requests.</li>\n<li>Monitor and implement updates related to annual HCPCS/ICD-10 code changes and CMS rulemaking.</li>\n<li>Maintain current knowledge of Local Coverage Determinations (LCDs) for ambulance services.</li>\n\n</div>"
    },
    {
      "text": "Required Qualifications & Skills:",
      "content": "<div>\n\n<li>Minimum 3–5 years of EMS/ambulance medical coding experience.</li>\n<li>Active CPC, CCS, or COC credential from AAPC or AHIMA; CPC-P or AMPA EMT-Coder preferred.</li>\n<li>Expert-level knowledge of ICD-10-CM, HCPCS Level II, and CMS ambulance billing rules.</li>\n<li>Demonstrated experience with Medicare ambulance billing, including ABN requirements and transport certification statements.</li>\n<li>Proficiency with EMS billing software (e.g., Zoll Billing, TriTech, ESO, ImageTrend).</li>\n<li>Strong understanding of federal and state ambulance reimbursement regulations.</li>\n<li>High school diploma or GED required; Associate's or Bachelor's degree in Health Information Management preferred.</li>\n\n</div>"
    },
    {
      "text": "Preferred Qualifications:",
      "content": "\n<li>Certified Ambulance Coder (CAC), Certified Professional Coder (CPC), or other revenue cycle certification.</li>\n<li>Familiarity with value-based care models and ET3 (Emergency Triage, Treat, and Transport) program billing.</li>\n<li>Knowledge of state-specific Medicaid managed care ambulance reimbursement policies.</li>\n<li>Experience with revenue cycle analytics and reporting tools.</li>\n"
    },
    {
      "text": "Work Environment & Benefits:",
      "content": "\n<li><strong>Employment Type:</strong> Full-time, On-site/Hybrid/Remote Options available.</li>\n<li><strong>Compensation:</strong> Competitive hourly pay based on experience.</li>\n<li><strong>Benefits:</strong> Health, dental, vision, 401(k), paid time off, professional development opportunities.</li>\n"
    }
  ],
  "country": "US",
  "createdAt": 1779205035308,
  "updatedAt": null,
  "categories": {
    "team": "PSI Office",
    "location": "Itasca, IL",
    "commitment": "Full-time",
    "department": "Open Positions",
    "allLocations": [
      "Itasca, IL"
    ]
  },
  "salaryRange": {
    "max": 32,
    "min": 26,
    "currency": "USD",
    "interval": "bi-week-salary"
  },
  "workplaceType": "hybrid"
}