Coding Specialist I

Summary

Join Florida Medical Clinic Orlando Health as a Coding Specialist I and work remotely from home. This position requires a current AAPC CPC (or equivalent) certification and one year of experience as a certified coder. You will be responsible for analyzing medical claims, ensuring accurate coding, resolving insurance denials, and conducting medical record audits. The ideal candidate possesses expert skills in ICD-9/ICD-10, CPT, and HCPCS coding, along with strong communication and analytical skills. Remote work is supported with provided equipment, but occasional onsite support may be required. Regular and reliable attendance is essential, with occasional overtime as needed.

Requirements

• Be a high school graduate or have a GED equivalent
• Possess at least one of the following credentials: Certified Professional Coder (CPC)
• Have one-year experience as a certified coder
• Possess proficiency in anatomy and medical terminology
• Be able to interact independently with all providers and clinical/business staff to conduct business activities in a courteous and professional manner
• Possess proficiency in a Windows-based computer environment and skill navigating through a typical Practice management and EHR systems
• Possess proficiency in using the Internet to access payer websites for policies and rules

Responsibilities

• Exhibit expert coding skill in the proper use of the ICD-9/ICD-10, HCPCS, and CPT coding manuals, including Medicare’s National Correct Coding Initiative (NCCI) edits
• Efficiently analyze insurance claims independently before submission; submit claims with accurate coding at all times and in a timely fashion to ensure optimum reimbursement and compliance
• Contribute to the achievement of the Coding Department goals and objectives and adhere to departmental policies, procedures, and performance standards
• Demonstrate proficiency in using Payer and coding websites to stay up-to-date on coding issues, coding changes, or other that affects compliance and reimbursement and share appropriately with the rest of the coding staff
• Effectively integrate coding/billing changes through the proper channels; changes in workflow and revenue issues must be forwarded to the attention of the coding manager
• Demonstrate excellent communication skills both verbally and written when dealing with either business or clinical staff (e.g., patient complaints, provider questions, coding feedback). Effective listening techniques
• Demonstrate the ability to quickly identify and investigate possible coding compliance issues and trends; perform thorough and complete investigation, and report any significant findings to the attention of the coding manager in a timely fashion
• Demonstrate an appropriate overall level of performance according to job grade level; as determined by the coding manager (e.g, coding skill, problem solving, leadership, and needed supervision)
• Complete additional work projects or assignments as given, accurately and in a timely fashion
• Perform as a team player to help meet the department’s monthly goals, and provide cross coverage in other coding areas when needed
• Adhere to all HIPPA privacy and security policies and practices. Report violations and incidents they observe through the proper channels, and cooperate in investigations as requested by management
• Maintain regular and reliable attendance

Preferred Qualifications

In the FMC, Central Business Office, Certified Professional Coders (CPC) are highly preferred

Benefits

• Remote work
• Provided equipment: Mini PC, Two Monitors, Webcam, Connection Cables