Dec 20, 2025

Medical Coder, Certified - CPC or CCS-P/CCS

Job Description

Job DescriptionJob DescriptionSeeking 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 $50,000dependent 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 profilesFollowing up and clarifying any information that is not clear to other staff membersImplementing strategic processes and choosing strategies and evaluation methods that provide correct resultsSupport clean claim submission by proactively identifying and correcting coding issuesEnsure timely and compliant resubmissions for denials or documentation requestsEnsure all coding is in compliance with HIPAA, OIG, and industry best practicesPerforms other related duties as assigned by managementQualifications:2-5 years with experience in Healthcare Coding, including HCPCSWorker's Compensation Insurance knowledge with experience coding services tied to injury-related care preferredAssociate'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/CCSComputer 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 codesEqual Employment Opportunity Employer