What are the responsibilities and job description for the Medical Coder, Certified position at ProCare Transportation and Language Services?
Seeking a highly accurate and detail-oriented Certified Medical Coder (CPC) with experience coding DME, specifically within the Workers’ Compensation sector to work in-office at our Tampa headquarters. This role involves strong knowledge of state-specific Workers’ Compensation guidelines, experience working with payer-specific rules, and prior experience coding services tied to injury-related care. The coder will be responsible for assigning accurate HCPCS codes to ensure compliant billing and optimal reimbursement.
Pay range starts at $50,000 dependent on experience. Any offer made will be based on the candidate's experience and skill level.
DUTIES AND RESPONSIBILITIES:
- Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations.
- Complying with medical coding guidelines and policies to apply appropriate state-specific Worker’s Compensation rules (including fee schedules and doc requirements)
- Receiving and reviewing orders, contracts and links the data by verifying with accuracy to Provider profiles
- Following up and clarifying any information that is not clear to other staff members
- Implementing strategic processes and choosing strategies and evaluation methods that provide correct results
- Support clean claim submission by proactively identifying and correcting coding issues
- Ensure timely and compliant resubmissions for denials or documentation requests
- Ensure all coding is in compliance with HIPAA, OIG, and industry best practices
- Performs other related duties as assigned by management
QUALIFICATIONS:
- 2-5 years with experience in Healthcare Coding, including HCPCS
- Worker's Compensation Insurance knowledge with experience coding services tied to injury-related care preferred
- Associate's Degree (AA) or equivalent from a two-year college or technical school, or equivalent related experience and/or training required.
- Certificates, licenses and registrations required: Current/Active CPC or CCS-P/CCS
- Computer skills required: Microsoft Office (Excel, Word, Outlook, Teams/Webex/Zoom-type virtual meeting spaces and communication pathways)
- Other skills required: Experience with EHR/EMR systems and billing software (e.g., Kareo, Brightree, or similar), In-Depth knowledge of HCPCS Level II codes
Equal Employment Opportunity Employer
Salary : $50,000