Medical Coder jobs

Founded in 1995 and headquartered in San Leandro, California. Westmed Ambulance Service is one of the largest ambulance providers in Northern California, with operations spanning emergency and non-emergency medical transport across the East and South Bay counties. With deployment centers in Alameda, Santa Clara, and Contra Costa counties, Westmed supports a wide range of services including Neonatal and Pediatric Advanced Transport for major hospital systems, jail and court transports, psychiatric patient transfers, and low-acuity 911 response support in partnership with Santa Clara County. Additionally, Westmed delivers primary EMT, Advanced Life Support (ALS), and Critical Care Transport (CCT) services for the Santa Clara County hospital system and other regional healthcare facilities.

The Medical Coder is responsible for accurately reviewing ambulance transport documentation and assigning appropriate diagnostic and procedural codes for billing and reimbursement purposes. This position ensures compliance with federal, state, and payer-specific regulations while supporting timely claim submission and revenue cycle operations.

The ideal candidate possesses knowledge of emergency medical services (EMS), ambulance billing, ICD-10 coding, CPT/HCPCS coding, and healthcare compliance standards.

Essential Duties and Responsibilities

• Review Patient Care Reports (PCRs) and supporting medical documentation for completeness and accuracy.
• Assign appropriate ICD-10, CPT, HCPCS, and modifier codes for emergency and non-emergency ambulance transports.
• Validate medical necessity documentation to support transport billing.
• Ensure coding practices comply with Medicare, Medicaid, commercial insurance, and regulatory requirements.
• Collaborate with EMTs, Paramedics, Billing Specialists, and Management to obtain missing documentation and resolve coding discrepancies.
• Conduct audits of patient records to identify coding errors and opportunities for process improvement.
• Research payer policies and coding updates to maintain compliance.
• Assist with denied claims by reviewing records and providing coding support for appeals.
• Maintain confidentiality of protected health information (PHI) in accordance with HIPAA regulations.
• Participate in ongoing training and quality assurance initiatives.

Qualifications

Required

• High school diploma or equivalent.
• Minimum of 2 years of medical coding experience.
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Experience with electronic medical records and billing software.
• Strong attention to detail and analytical skills.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Office applications.

Preferred

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar certification.
• Experience in ambulance, EMS, emergency medicine, or healthcare transportation billing.
• Knowledge of Medicare ambulance fee schedules and medical necessity requirements.
• Associate's degree in Health Information Management or related field.

Compensation and Benefits

• Competitive salary based on experience.

Key Performance Indicators (KPIs)

• Coding accuracy rate.
• Claim denial rate attributable to coding.
• Timeliness of coding completion.
• Compliance audit results.
• Revenue recovery from corrected claims and appeals.

Equal Employment Opportunity Statement

Westmed Ambulance Service is an Equal Opportunity / Affirmative Action Employer. It is Westmed Ambulance Service's policy to provide equal opportunity to all qualified applicants for employment, and not to discriminate on any basis of age, citizenship, color, physical disability, mental disability, medical condition, pregnancy, genetic information, military or veteran status, marital status, national origin, race, ancestry, religion, gender, sexual orientation, gender identity, gender expression or any class protected by State law.

Pay: Php74,000.00 - Php80,000.00 per month

Work Location: Remote