Certified Medical Coder

We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position will focus on coding accuracy, billing compliance, and reimbursement optimization while partnering with providers and revenue cycle teams. The ideal candidate brings strong experience in E/M coding, medical record auditing, and payer guideline interpretation within a regulated clinical environment.

Responsibilities:

• Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes.
• Examine clinical documentation to identify coding variances, prepare audit findings, and educate providers on documentation improvement opportunities.
• Collaborate with physicians and care teams to clarify incomplete or conflicting chart details and resolve documentation questions affecting claims.
• Escalate recurring documentation concerns, coding risks, and reimbursement patterns to revenue cycle leadership and practice management.
• Partner with billing and revenue staff to support account follow-up, claim corrections, and resubmissions that improve accounts receivable performance.
• Evaluate payer behavior, reimbursement trends, and policy updates to identify issues that may affect billing results or compliance.
• Investigate denials, coding questions, and billing-related inquiries, then provide clear guidance based on payer rules and compliance standards.
• Deliver training and day-to-day support to providers and less experienced staff on coding requirements, documentation standards, and regulatory expectations.
• Assist with updates to charge documents, workflows, and related procedures to maintain alignment with organizational and payer requirements.
• Protect the confidentiality of patient and financial information while completing assigned billing, coding, and audit activities.