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 issuesMaintain 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.
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