Job Description
Job Description
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 requirementsEnsure coding accuracy and compliance with payer, CMS, and regulatory standardsSupport managed care processes, including risk adjustment, quality initiatives, and utilization reviewReview medical records to ensure complete and accurate documentation for coding purposesAssist with audits, corrections, and coding-related inquiriesWork closely with clinical and administrative teams to resolve coding issuesMaintain updated knowledge of coding regulations, payer rules, and managed care guidelinesPrepare and pull coding-related reports as neededREQUIREMENTS
Strong knowledge of ICD-10, CPT, and HCPCS codingExperience working with managed care plans, including Medicare Advantage and other payer modelsHigh attention to detail and accuracyAbility to review medical records and apply appropriate codingProficiency with electronic health records (EHR) and coding softwareStrong computer skills, including the ability to pull and review reportsExcellent communication skills, both written and verbalAbility to manage multiple priorities in a fast-paced environmentPREFERRED QUALIFICATIONS
CPC, CCS, or equivalent coding certificationPrior experience in managed care, MSO, IPA, or medical group settingFamiliarity with CMS guidelines, HCC coding, and risk adjustmentThis is an excellent opportunity to join a growing healthcare organization focused on quality, compliance, and operational excellence.