The Clinical Coder II performs highly technical and specialized coding work focused on CPT, HCPCS, and ICD-10 coding in accordance with billing protocols and compliance standards. This role reviews, analyzes, and codes diagnostic and procedural information that determines insurance payments, and also supports administrative and clerical duties as needed.
Responsibilities include:
- Completing coding and data entry in Epic, Cadence, and Resolute
- Accurately identifying and coding services using clinic notes, chart documentation, dictated notes, or operative reports
- Assigning diagnoses and procedures using ICD-10-CM and CPT classification systems
- Posting charges daily using ICD-10 and CPT codes, insurance FSCs, modifiers, and applicable pre-certification numbers, referring physicians, secondary providers, and documentation
- Reviewing records for completeness, including patient and record identification, signatures, dates, and other required documentation
- Ensuring compliance with third-party reimbursement agencies and screening criteria
- Maintaining current knowledge of coding and compliance guidelines
Requirements & Qualifications
Minimum qualifications
- High school diploma or equivalent
- Three years of professional medical coding experience
- Appropriate college coursework or vocational/technical training may substitute for the required experience at an equivalent rate
- CPC, COC, CCP-P, or CCS-P certification required
Preferred qualifications
- Experience with Epic
- Knowledge of fiscal requirements, policies, and procedures for federal, state, and University of Florida UF Health programs
- Strong knowledge of medical coding and CPT code selection for third-party billing
- Ability to follow instructions and work independently
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago
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