PHI Air Medical
  • - 3625F - Admin-FIN-EMS-Mgmt
  • Phoenix, AZ, USA
  • Full Time 5&2

JOB SUMMARY

  • Apply clinical knowledge and medical billing knowledge to support and assist the appeals process
  • Assist in obtaining and reviewing hospital records in support of the billing process
  • Collaborate with the pre-billing team to ensure all production goals are met and processes are complete for month end close
  • Demonstrate and maintain consistent customer focus for internal and external departmental processes
  • Demonstrate clinical knowledge including extensive training in anatomy, physiology, pharmacology, and clinical disease process
  • Demonstrated ICD9, ICD10 and HCPCs coding expertise
  • Demonstrated understanding of compliance and skills to perform compliance reviews
  • Focused on continuous improvement, learning, accountability, teamwork, motivating and development and analysis resolution 
  • Must demonstrate positive teaming, effective cooperation in all communication within established team and throughout the entire PFS department.
  • Must have a clinical knowledge including extensive training in anatomy, physiology, pharmacology, and clinical disease process
  • Must have a thorough understanding of medical terminology and the content of medical records
  • Perform quality improvement reviews for all coders to support compliance and to asses training needs
  • Performs closest appropriate facility review per PHI policy to support Medicare compliances
  • Provides review and recommendations for denials, compliance audits, and claims submission
  • Recognize the entire scope of an issue and participate objectively towards resolution with other team members
  • Responsible to transform medical diagnoses, procedures, and injuries into designated numerical codes
  • Reviews and submits outliers and trends for clinical and compliance management review
  • Reviews available industry training to recommend pertinent courses for all coders
  • Reviews charges and codes for accuracy prior to posting for billing
  • Understand and demonstrate expertise in all software systems to include providing training for other coders
  • Understanding of all billing requirements to include claim submission, charge repost and individual payer requirements
  • Complying with Company HS&E policy and procedures
  • Responsible for supporting company Safety Management Systems activities
  • Understand and provide visible support of Destination Zero
  • Other duties and responsibilities as assigned

SCHEDULE/LOCATION

  • 5 & 2
  • Phoenix, AZ

QUALIFICATIONS/EXPERIENCE

  • Requires HS Diploma (GED) equivalent
  • Certified Professional Coder (CPC) certificate required from a recognized, accredited advanced learning institution
  • Must have a current Certificate from American Academy of Professional Coders or other professional coding organization
  • 5 years of previous experience in Medical Billing and general office procedures.
  • A coder must adhere to ethical principles relating to ethical principles relating to quality, truth, and accuracy in work performance and productivity.  

SALARY

  • Regular pay scale applies

CORE COMPETENCIES

  • Safety - Taking responsibility to put the tools and processes in place that will ensure your own safety and the safety of those around you. The key components of Safety are:  System (SMS), Risk Management, Safety Assurance, Personal Responsibility, Discipline, Compliance (Integrity), and Capacity for Collective Action.
  • Efficiency - Ability to maximize the benefits and profits, while minimizing effort and expenditure. The key components of Efficiency are:  Process Efficiency, Organizational Efficiency, Resource Allocation & Maximization, Measurement and Accountability, and Organizational Transparency
  • Quality - Meeting the customers' needs and conditions for success over the long term and to the greatest extent possible. The key components of Quality are:  Leadership Position, Technology, Technical Proficiency, Measurement and Accountability, and Innovation.
  • Customer Service - Anticipates and meets the needs of both internal and external customers. Delivers high-quality products and services; is committed to continuous improvement. The key components of Customer Service are:  Communication, Consistency, Accessibility, Reliability, and Maintaining an Honest, Respectful and Professional Relationship.

BEHAVIORAL COMPETENCIES

  • Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances.
  • Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise
  • High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards.
  • Initiative – Takes a proactive approach and takes action without being prompted.
  • Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities.
PHI Air Medical
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