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Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate. Responsibilties: A day in the life of a Billing Coordinator / Coder at Hackensack Meridian Health includes: • Coordinates pertinent information of a patient's medical record for submission to the physician billing service., • Verifies patient's insurance and acts as a liaison with patients regarding charges, answers billing inquiries and assists with outstanding bills., • Ensures proper receipt of authorization / referral and completion of all forms., • Analyzes medical records and identifies documentation deficiencies., • Daily monitoring of all WQ's for coding and billing corrections., • Assigns codes to clinical services performed for use in reimbursement and data collection., • Assign CPT, HCPCS and ICD-10-CM codes., • Assesses clinical documentation and communicates with physicians and advanced practice providers for additional information when documentation for proper coding is missing or incomplete., • Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits., • Maintains required productivity and quality requirements, • Complies with HMH Organizational policies, procedures, and standards of behavior; maintains patient record Reports unusual circumstances, possible risk factors, errors, and discrepancies to management., • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs., • Minimum of 1 year of coding for professional services, • Strong understanding of physiology, medical terms and anatomy., • Proficiency in computer skills including typing speed and accuracy., • Excellent written and verbal communication skills., • Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Job DescriptionThis position is responsible for the accurate and timely billing of ambulance transports while maintaining quality and productivity standards. This position is expected to determine diagnosis and levels of service, based on information provided on the Patient Care Report (PCR) and to accurately bill using the appropriate codes.As a Medical Billing Specialist you will: • Review as a second verification basic information for the patient, including name, address, date of birth, social security number, insurance information, ranking of insurance related to call; update as necessary., • Verify receipt of and update PCS information (if non-emergency and/or schedule trips) or payor's pre-authorization of services for the trip., • Verifies and updates service details, including pick-up and drop-off addresses, date and time, call type, response priority and transport priority., • Verifies the medical details and determine the appropriate service code, ICD-10 or condition codes for the patient's complaint(s)., • Verifies and updates the correct amount to charge for the services rendered, and the procedures administered., • Determines the correct procedure codes and modifiers you must use for the charges, as required by the payor being billed., • Reports any additional information needed., • Generate a claim for the trip on paper or in the correct electronic submission format-that includes all the necessary details, modifiers, indicators, condition codes, and documentation, and send to the primary payor(s)., • Assure HIPAA compliance with regards to billing practices., • Keeps track of all trips and claims., • Ensures ePCR's received is equal to the total trips for that day., • Maintains knowledge of all coding regulations, particularly as it relates to assigned state or payor., • Maintains files for all trips and medical documentation., • Continuously cross-trains in other function areas and supports office logisticsQualifications:, • Minimum of 1-year medical billing experience with an ambulance company (or similar practice or clinic)., • Ambulance/Medical billing certification or diploma preferred, • Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC), • Excellent organizational skills and the ability to multi-task in a fast-paced environment, • Analytical - collects and researches data; uses intuition and experience to complement dataSkills:, • Excellent organizational skills and the ability to multi-task in a fast-paced environment., • Analytical - collects and researches data; uses intuition and experience to complement data., • Thorough knowledge of ambulance transport documentation., • Extensive knowledge of ICD-10 and Condition Codes., • Ability to collect for healthcare claims from Medicare/Medicaid, commercial insurance, contracted facilities, and individuals., • Understands Medicare and Medicaid regulations and guidelines., • Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance preferred., • Familiarity with medical terminology., • Ability to interpret EOB (Explanation of Benefits)., • Familiarity with Microsoft Office Suite (Excel, Word).Benefits:, • 401K, • Medical Insurance, • Dental, • Vision, • PTOWork Location:, • 43 River Road, Nutley, NJ, 07710 (Metro Ambulance Office)

TekSystems is currently hiring for a Medical Coder that can sit anywhere in the US as it is FULLY REMOTE, this position does work on EST time zone hours!*. These Coders will be taking the work from the Client Coordinators. Certified Professional Coder or CPC (Can look at but not guaranteed Certified