10 documentation coding auditor jobs found in Florida

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coding Auditor Full Time Staff South Florida Community Care Network, LLC, Sunrise, FL, US 3 days ago Requisition ID: 1202 Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in...

South Florida Community Care Network, LLC in Sunrise, Florida is seeking a Medical Coding Auditor to conduct audits of pre- and post-payment records, ensuring compliant coding and identifying potential fraud, waste, abuse, and overpayments. The role requires maintaining documentation and regulatory adherence. The position involves reviewing medical records, preparing summaries for committees, and generating reports; it supports a hybrid work schedule with duties spanning regulatory and contract #J-18808-Ljbffr

Billing and Coding Auditor Banyan Treatment Centers is seeking a detail-oriented and experienced Billing and Coding Auditor to support the accuracy and compliance of our billing practices across our behavioral health services. This critical role ensures the integrity of our claims processes and supports continuous quality improvement, staff education, and adherence to payer regulations. As a nationally recognized provider of addiction and mental health care accredited by The Joint Commissionwith 18 locations, robust Telehealth services, and backed by TPG's Rise Fund since 2023our 1,600employees are dedicated to delivering compassionate, high-quality care that transforms lives. Positions DetailsLocation:Flexible On-site (Pompano Beach, FL), Hybrid or Remote (USA)Reports to:Auditing Manager & Director of RCMSchedule:Full-time Key Responsibilities Conduct regular audits of behavioral health billing and claims for accuracy and compliance. Review coding of all services (ICD-10, CPT,...

Humana is seeking a Medical Coder to assign DRG-related codes and provide coding expertise for accurate documentation and review. The role covers ICD-10-CM, CPT, HCPCS coding aligned to guidelines, and ongoing collaboration with internal and external teams. The position includes a TB screening requirement and a 40-hour work week. Opportunities exist to support audits and maintain high-quality coding in a patient-facing environment as part of Humana’s CenterWell Senior Primary Care network. #J-18808-Ljbffr

Millennium Physician Group seeks a Level II Risk Adjustment Coding Specialist to abstract ICD-10-CM codes from encounter documentation, conduct audits, and contribute to VBAT and MRA analyses in New York. The role requires 2+ years of coding experience, including 1 year of HCC coding, and strong knowledge of ICD-10-CM conventions, with proficiency in MS Office and EMR systems. You will collaborate with leadership to meet accuracy and productivity targets. #J-18808-Ljbffr

MUST RESIDE IN FLORIDA AND HAVE CODING AND AUDITING EXPERIENCE. Deposition as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Florida-based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Responsibilities: Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review E/M services under 2021+ guidelines Interpret...

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Florida. The role emphasizes Florida-based coding expertise, understanding of medical necessity and payer policies, and readiness to support depositions and testimony as required. The candidate should have strong documentation skills, prior audit experience, and the ability to work independently to meet deadlines. #J-18808-Ljbffr

Position: Medical Billing & Reimbursement Specialist Location: Mount Dora, FL Remote Status: On-Site # of Openings: 1 Medical Billing & Reimbursement Specialist Reports to: Controller Status: Non-Exempt, hourly About the role The Medical Billing & Reimbursement Specialist manages billing and reimbursement activity related to healthcare services provided within Waterman Village. This role helps ensure that claims are submitted accurately, payments are posted correctly, denials are addressed promptly, and reimbursement requirements are met. The work requires both technical precision and steady follow-through. You will work with clinical, admissions, resident financial services, and accounting colleagues to support appropriate reimbursement while helping residents and families navigate financial questions with respect. What you will own Claims preparation and submission. Prepare, review, and submit claims to Medicare, Medicaid, managed care plans, commercial insurers, the...

Become a part of our caring community The Medical Coding Coordinator confirms appropriate diagnosis related to the appropriate Outpatient CPT and ICD-10 code assignments. As a Medical Coding Coordinator, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Responsibilities Review medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codes Apply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standards Ensure coding is accurate, complete and compliant with regulatory and organizational...

Billing & Coding Specialist Full-Time Monday-Friday Competitive Pay Based on Experience Position Summary Magnolia Medical Clinic, P.A. is seeking a detail-oriented and experienced Billing & Coding Specialist to support our growing multi-provider primary care practice. This position is responsible for accurate coding, claim submission, payment posting, denial management, and accounts receivable follow-up to ensure timely and compliant revenue cycle performance. The ideal candidate is proactive, analytical, and comfortable working in a fast-paced, high-volume environment. Key Responsibilities Coding & Charge Review Review and validate provider documentation for accurate CPT, HCPCS, and ICD-10 coding Ensure appropriate E/M level selection based on documentation guidelines Verify modifiers and medical necessity requirements Provide feedback to providers on documentation deficiencies when needed Monitor payer-specific coding requirements and updates Claims Management Submit...