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Medical Coder
Coral Gables, FL
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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 issues Maintain 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.
