142 cpc certified professional coder jobs found in Hialeah, FL

Position Responsibilities Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories) Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of care Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding Demonstrates understanding of risk adjustment payment models Uses clinical reasoning and critical thinking skills to discern the financial impact of a query in order to prioritize efforts most efficiently Completes patient medical chart review within 24-48 hours of visit completion Responsible for maintaining active status of coding credentials and completes annual continued education hours. Observes work hours and provides proper notice...

Job Description Job Description Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG.   Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

Inpatient Coder, Full TimeMedical Record Coder is responsible for timely review of patient records in order to identify an appropriate selection of ICD-10-CM/PCS codes that will accurately reflect the reason for admission, extent of care received, and level of severity of illness. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected and included in the patient's demographic record. Accounts for each Inpatient and Outpatient records in order that all are coded. Enters coded data into computer to facilitate the billing process.Position Qualification:Preferred: 2-3 years Inpatient coding experience preferred.EDUCATION: RHIA, RHIT, CCS preferred or completion of ICD-10/PCS 4 coding programs.TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed.ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. Must be able to look at computer CRT...

Position ResponsibilitiesDemonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories)Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of careRegularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reportsQueries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment codingDemonstrates understanding of risk adjustment payment modelsUses clinical reasoning and critical thinking skills to discern the financial impact of a query in order to prioritize efforts most efficientlyCompletes patient medical chart review within 24-48 hours of visit completionResponsible for maintaining active status of coding credentials and completes annual continued education hours.Observes work hours and provides proper notice regarding absences...

Job Description Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission....

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 Coder FT Technical Virginia Gardens, FL, US 2 days ago Requisition ID: 1040 Salary Range: $25.00 To $30.00 Hourly Title of Position: Medical Coder Position Summary: The Medical Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of ICD10-CM and CPT coding to translate, input, extract and validate medical record data. Responsibilities: Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting Review clinical documentation and assign accurate diagnosis codes according...

Las Mercedes Management in Florida is seeking a Medical Coder to support retrospective and concurrent chart reviews, translating data using ICD-10-CM and CPT coding to input, extract, and validate medical record information. The role demands CPC/CRC/CPMA/CDEO certifications, at least 1 year of medical coding experience, and proficiency with Microsoft Word/Excel and HCC Dashboard tools, with focus on documentation compliance and HIPAA. #J-18808-Ljbffr

ADP, Inc. in Virginia Gardens, FL is seeking a full-time Medical Coder to support retrospective and concurrent chart reviews, translating and validating medical record data using ICD-10-CM and CPT coding. The role emphasizes accuracy in diagnosis coding, compliance with HIPAA, and collaboration with physicians and care teams. The position requires CPC/CRC/CPMA/CDEO certification, at least 1 year of medical coding experience, and strong MS Word/Excel skills, with familiarity of HCC Dashboard #J-18808-Ljbffr

ESSENTIAL FUNCTIONS: This position is responsible for reviewing, coding, and submitting accurate claims for pediatric medical services while ensuring compliance with current coding regulations and insurance requirements. The ideal candidate will have expertise in pediatric coding guidelines and work collaboratively with clinical and billing teams. DUTIES AND RESPONSIBILITIES: Review clinical documentation and assign appropriate ICD-10, CPT, and HCPCS codes for pediatric diagnoses and procedures. Ensure coding compliance with federal regulations, payer policies, and organizational standards. Query providers when necessary for additional information or clarification to ensure accurate coding. Assist in the education of providers and staff regarding coding updates, documentation improvement, and regulatory requirements. Audit coded data for accuracy and provide feedback to clinical staff as needed. Submit clean claims for reimbursement in a timely manner and assist with denial...

Pride-Health is actively hiring a Certified Medical Coder (Remote) for outpatient and emergency department coding. Remote 100% work, extendable contract, with a pay rate of $36-$38 per hour. Schedule includes weekend work and 3+ years of experience in acute care coding. Responsibilities include outpatient and ED coding, ICD-10, CPT-4, payer guidelines, and using EPIC and 3M/HDS systems. Requires CCS/RHIA/RHIT/CCP certification and proficiency in Word/Excel. #J-18808-Ljbffr

Cano Health is seeking a Risk Adjustment Coder to identify and document CMS HCC related diagnoses based on patient encounters. You will review medical records, prepare charts, and ensure coding accuracy with Excel support and coordination with care teams. Ideal candidates have CPC/CPC-A/CCS-P/CRC certification, 2+ years of medical coding experience, and strong attention to detail. Travel to offices may be required to conduct on-site chart reviews and support quality initiatives. #J-18808-Ljbffr

Health Information Management Miami, FL Full-Time Jackson Health System Full Time REMOTE (FL Residents Only) Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter. While reviewing the record for coding...

Pena4 Inc. is seeking an Inpatient Medical Coder (CCS certified) for 100% remote work. The role requires at least 5 years of IP PCS coding experience and CCS certification; outpatient experience is a plus.This is a full-time W2 position with regular day shifts and immediate start. Responsibilities include reviewing records to determine diagnoses and procedures, ensuring proper sequencing and DRG assignments, and staying current with coding guidelines.J-18808-Ljbffr

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at http://www.mindlance.com. Job Description Business Medical Coder Location 5775 Blue Lagoon Dr. Miami, FL 33126 Contract 3 Months Qualifications Role · Review of denial on adjudicated claim that is classified as a code edit denial. · Request and review supporting documentation (medical records) when needed. · Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications · CPC-A with coding experience · Knowledge/experience of CPT, ICD-9, and ICD-10 coding · Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “ Chronological Resume” and call me on (678)-405-3590 . Additional Information Thanks & Regards, ranadheerm@mindlance .com...

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and...

AvMed, a division of Sentara Health Plans, seeks a Risk Adjustment Nurse/Coder in a hybrid role in Doral, FL. The position focuses on CMS/HHS risk adjustment coding, RADV audits, and ensuring accurate HCC capture in provider documentation. The ideal candidate holds an associate degree and relevant coding certifications, with 2 years of medical coding experience and familiarity with ICD-10-CM guidelines. #J-18808-Ljbffr

WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier Medical - as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. JOB SUMMARY The Coding Coordinator is an integral component of success as it defines and ensures outstanding clinical care for...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.Position Details:Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina)Status: Full time (non-exempt)Shift: 7:00 AM to 3:30 PMDays: Monday through FridayThe Advanced Inpatient Coding Specialist is a full-time remote position.Responsibilities:The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems.Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis.Formulates physician queries and monitors bill hold reports. Serves as a...

City/State Doral, FL Work Shift First (Days) Overview: AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA in Doral, FL! Status: Full-timepermanent position (40 hours) Standard working hours: 8am to 430pm EST, M-F Location: This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary Then Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for...

Cano Health in Miami is seeking a Risk Adjustment Coder to identify, extract and document diagnoses for CMS HCCs. You will review medical records, ensure accuracy of codes and coordinate with PCPs for MRA coding and quality initiatives. The role requires CPC or CCS-P/CPC-A certification and 2 years of medical coding experience, strong Excel skills, attention to detail, and solid communication. Travel to offices for on-site chart reviews may be required. #J-18808-Ljbffr

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding...

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at www.mindlance.com. Job Description Business Medical Coder Location: 5775 Blue Lagoon Dr., Miami, FL 33126 Contract: 3 Months Qualifications Role Review of denial on adjudicated claim that is classified as a code edit denial. Request and review supporting documentation (medical records) when needed. Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications CPC-A with coding experience Knowledge/experience of CPT, ICD-9, and ICD-10 coding Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590. Additional Information Thanks & Regards, #J-18808-Ljbffr

Jobrapido is seeking an experienced Podiatry Medical Biller for a fully remote, full-time position with a comprehensive benefits package. The ideal candidate has podiatry-specific billing/coding experience and is proficient with ModMed or MD Logic. You will handle CPT/ICD-10 coding, A/R follow-up, and payment posting from insurers and patients, while ensuring accuracy and timely claims resolution. A research-oriented problem-solver mindset is valued for coding scenarios during the application #J-18808-Ljbffr