Benefits:- Competitive salary
- Dental insurance
- Free uniforms
- Health insurance
- Training & development
- Vision insurance
Florida Doctors Group is seeking an experienced Medical Coding Specialist with a strong background in managed care to join our team. This role requires a detail-oriented professional who understands medical coding guidelines, managed care workflows, and the importance of accuracy in a fast-paced healthcare environment.
RESPONSIBILITIES
- Review, assign, and validate ICD-10, CPT, and HCPCS codes in accordance with coding guidelines and managed care requirements
- Ensure coding accuracy and compliance with payer, CMS, and regulatory standards
- Support managed care processes, including risk adjustment, quality initiatives, and utilization review
- Review medical records to ensure complete and accurate documentation for coding purposes
- Assist with audits, corrections, and coding-related inquiries
- Work closely with clinical and administrative teams to resolve coding issues
- Maintain updated knowledge of coding regulations, payer rules, and managed care guidelines
- Prepare and pull coding-related reports as needed
REQUIREMENTS
- Strong knowledge of ICD-10, CPT, and HCPCS coding
- Experience working with managed care plans, including Medicare Advantage and other payer models
- High attention to detail and accuracy
- Ability to review medical records and apply appropriate coding
- Proficiency with electronic health records (EHR) and coding software
- Strong computer skills, including the ability to pull and review reports
- Excellent communication skills, both written and verbal
- Ability to manage multiple priorities in a fast-paced environment
PREFERRED QUALIFICATIONS
- CPC, CCS, or equivalent coding certification
- Prior experience in managed care, MSO, IPA, or medical group setting
- Familiarity with CMS guidelines, HCC coding, and risk adjustment
This is an excellent opportunity to join a growing healthcare organization focused on quality, compliance, and operational excellence.