26 cpc certified professional coder jobs found in Sarasota, FL

Coding Specialist Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. Pay Range: $28.70 - $41.70 Scheduled Weekly Hours: 40 Position Overview Assigns codes accurately to diagnoses and procedures within the medical record to comply with federal and state regulations. Sequences codes...

Department FPG Central Billing Office Job Summary Identifies and applies appropriate ICD-10 diagnostic and CPT procedural codes to individual patient health information for claims processing, data retrieval and analysis. Responsible for patient financial related activities, which includes accurate entry of insurance benefits, authorizations and other activities which ensures complete and accurate claims. Required Qualifications - Require a minimum of two (2) years of experience in a physician office. - Require a minimum of one (1) year of CPT and ICD physician coding experience. - Require Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P), or Certified General Surgery Coder (CGSC), or become certified within one (1) year of employment. Preferred Qualifications - Prefer a college degree. - Prefer demonstrated initiative and the ability to work in a self-directed environment. - Prefer Multi-Specialty coding experience....

Medical Coder Educator Serves as the coding reviewer and documentation educator for USF TGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Qualifications Required: High School Diploma or...

Job Title Current Coding certificate AAPC (CPC, CEMC, COC, CIC) or AHIMA (CCS, CCS-P) 3+ Years working in the health insurance field. Evaluation and Management (E&M) & GMC Coding - MUST have 3+years of experience Review adjudicated medical claims that have been denied and resubmitted by providers for reconsideration. Review medical documentation in support of Evaluation and Management (E&M) coding.

Job Title Collaborates with the Clinical Documentation Improvement (CDI) team to ensure consistency and completeness of clinical records. Effectively manages time and workload to meet both productivity and accuracy standards. Collaborates with Coding team members to ensure coding is completed within two days of patient discharge. Accurately and efficiently completes coding assignments across multiple facilities within established timeframes. Communicates coding-related issues that may affect claims processing, coding accuracy, or compliance with the Coding Management Team. Assumes ownership of the discharged not final coded accounts held by monitoring the queue holds and ensuring accounts are released in a timely manner. Codes inpatient charts and verifies or assigns ICD-10-CM/PCS diagnosis and procedure codes. High School Grad or Equiv (Required), Technical/Vocational School (Required)Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Registered Health Information...

Medical Coder Certified - USFTGP RCO The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Qualifications Required: High School Diploma or GED Certification Certified Professional Coder - CPC Or Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years in practical coding experience is required. Coders are held to high standard; best practices are to achieve a greater than 95% accuracy rate during coding assessments. Primary Location Tampa Work Locations USF Faculty...

We Are More Than A Health System We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at...

The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Required: High School Diploma or GED Certification Certified Professional Coder - CPC Or Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years in practical coding experience is required. Coders are held to high standard; best practices are to achieve a greater than 95% accuracy rate during coding assessments.

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

Responsible for providing coding quality auditing services and evaluating clinical documentation for all providers within the USFTGP organization. Establishes and provides timely communication of identified quality issues concerning documentation and coding with a target minimum of a 95% accuracy/passing rate. More specifically this team member will: Audit retro and concurrent medical provider clinical documentation while adhering to Medicare guideline • Review documentation to assign/audit correct diagnosis codes Identify areas for documentation improvement and effectively communicates with providers and staff. Perform in a professional manner, exercising good judgment and ethical standards. Interacts effectively and builds respectful working relationships across the organization. • Demonstrate integrity by adhering to high standards of personal and professional conduct. Comply with the Standards of Ethical Coding as set forth by the American Health Information...

Seeking 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 $50,000+ dependent 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...

JOB SUMMARY Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will; 1. Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. 2. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. 3. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. 4. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. 5. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the...

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 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Sign on bonuses available! 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...

Current Coding certificate AAPC (CPC, CEMC, COC, CIC) or AHIMA (CCS, CCS-P) 3+ Years working in the health insurance field. Evaluation and Management (E&M) & GMC Coding - MUST have 3+years of experience Review adjudicated medical claims that have been denied and resubmitted by providers for reconsideration. Review medical documentation in support of Evaluation and Management in compliance with current CPT, HCPCS, ICD-10, and CMS guidelines, as well as company-specific reimbursement policies, competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. Analyze claim documentation, coding accuracy, and medical record details to determine if denial reasons are valid or if payment reconsideration is warranted. Conduct detailed coding audits to validate...

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, or South Carolina) Status: Full-time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Outpatient Coder II will work remotely on a full-time basis. Responsibilities: The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. Assists Manager/Director with mentoring/training of Coder I team members and clinical practice students from various colleges. Performs other duties as assigned. Why BayCare? Our network consists of 16...

The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Qualifications Required: High School Diploma or GED Certification Certified Professional Coder - CPC Or Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years' in practical coding experience is required. Coders are held to high standard, best practices are to achieve a greater than 95% accuracy rate during coding assessments. Technical Knowledge, Skills, and Abilities • Knowledge of CPT, ICD-10 and...

Job Summary Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will: Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the...

Job Type Full-time Description Florida Urology is expanding our footprint in the Tampa Bay area and need to hire an additional medical coder. This position will evaluate medical records and the provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines. Provide QA, audits and compliance with Medicaid plans, CMS, OIG and the HCFA as well as company and applicable professional standards. We expect this position to be a hybrid position with some days in-office and some from home. Florida Urology Partners offers a suite of benefits including medical, dental and vision plans. We also offer a free membership to the YMCA. Florida Urology Partners is committed to diversity and does not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient coding work queues daily to address coding...

Summary: Memorial is seeking an experienced Medical Coder with a strong background in professional billing for Radiation Oncology services. The ideal candidate will have in-depth knowledge of CPT, ICD-10, and HCPCS coding, with proven expertise in radiation oncology coding guidelines, documentation requirements, and payer-specific billing practices. Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts...

Job Description Job Description Please only submit an application if you live in one of these states: FL, VA, TX, NY, NJ, MO About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven,...

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: Fully Remote (must reside in the State of Florida) Status: PRN (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Coder I will work remotely on a PRN basis. This team member must currently reside in the state of Florida. Responsibilities The Medical Records Coder I assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports and performs other duties as assigned. Why BayCare? Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the...

CCC is seeking a self-motivated Certified Medical Coder , who is detail oriented. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high-volume position. WHAT YOU WILL BE DOING: Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding questions and research...

Certified Medical Coder CCC is seeking a self-motivated Certified Medical Coder, who is detail oriented. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high-volume position. What You Will Be Doing: Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding...