JOB DUTIES

Review, analyzes and assigns the final diagnoses and procedures as stated by the practicing provider’s documentation following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes, verbally, physically, and in written forms.

Essential Functions

• Review clinical documentation and code to the highest level of specificity for accurate charge capture.
• Assign and sequence appropriate codes and modifiers using current procedure, diagnosis , and HCPCS to services billed.
• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
• Communicates with Physicians, other business group personnel, clinical areas, and staff in coding related questions.
• Manage coding related edit work queues.
• Prepares documentation audits with written results and trend data. Presents the results to the Provider, Department Chairman, and/or Compliance Officer.
• Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately.
• Identify and account for missing charges and/or documentation.
• Performs coding work requiring independent judgment with timeliness and accuracy.
• Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills.

Experience Requirements

3 years
Medical billing
required

Extensive experience in coding
required

Medical management information systems and medical software
required

Education Requirements

High School Diploma or GED equivalent
required

Additional Details:
Certification/Licensure Requirements

Qualifier
Certified Professional Coder (CPC)
required
at time of hire

Job Type: Full-time

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Work setting:

• Hybrid work
• Office

Work Location: Hybrid remote in Jacksonville, FL 32209