Responsible for the accurate and efficient coding of medical records in compliance with legal regulations and accepted standards. The coder reviews charts assigned by the Coding Supervisor, identifies and corrects errors or omissions, and submits records for processing.
Key responsibilities include:
- Review patient encounters for diagnostic and procedural coding, abstracting, and reportable elements.
- Audit clinical documentation and coded data to ensure support for diagnoses, procedures, and services rendered.
- Assign CPT, HCPCS, ICD-10, and modifier codes in accordance with coding guidelines and reimbursement requirements.
- Review physician charges for appropriate complexity and coding accuracy.
- Collaborate with the Coding Supervisor and providers to improve documentation practices.
- Verify patient demographic, insurance, and referring physician information in Intergy.
- Maintain compliance with Medicare, Medicaid, managed care, HEDIS, FQHC, and other regulatory guidelines.
- Provide weekly updates and status reports to management.
- Perform other duties as assigned.
Requirements & Qualifications
Required knowledge and skills
- Knowledge of Medicaid, Medicare, and commercial insurance rules and procedures in a managed care environment.
- Medical terminology and proficiency with CPT, HCPCS, ICD-10 coding, and modifier usage.
- Understanding of FQHC billing procedures and sliding fee schedules is a plus.
- Ability to follow HIPAA guidelines and maintain confidentiality.
Preferred qualifications
- Medical Coding & Billing course completion.
- 2 years of medical coding experience preferred.
- Certified Professional Coder (CPC) certification preferred.
- Minimum 1 year of employment in a healthcare-related field.
Benefits & Perks
- Generous paid time off
- 9 paid holidays
- Excellent health benefits
- Company-paid pension
- Multiple bonuses
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago
Browse More Jobs