HCC Pediatric Medical Coder
HCC Pediatric Medical Coder
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1 Vacancy
Job Description
HCC Pediatric Medical Coder
Location: Fort Myers FL 33907
Department: Billing/Coding
Location: Office-Based NON-REMOTE (Ft. Myers Florida Lee County)
FLSA Status: Non-Exempt
Reports To: Coding Manager
- Assign accurate ICD-10-CM CPT and HCPCS codes for diagnoses procedures and services performed in a pediatric office setting.
- Review provider documentation to ensure coding accurately reflects services rendered and supports optimal reimbursement.
- Stay current with industry coding updates payer guidelines and regulatory changes with an emphasis on pediatric-specific policies.
- Collaborate with clinical staff and providers to clarify documentation when necessary.
- Participate in internal coding audits and assist with compliance reporting and data analysis.
- Work closely with the billing and reimbursement team to resolve claim denials or rejections related to coding issues.
- Support training initiatives and provide feedback on documentation improvement opportunities.
- Certified Professional Coder (CPC) required.
- Certified Pediatric Coder (CPEDC) preferred. If not currently certified must obtain within 6 months of employment.
- Minimum of 2 years experience in medical coding preferably in a pediatric or primary care environment.
- Strong knowledge of Evaluation and Management (E&M) coding and documentation requirements.
- Excellent analytical skills and attention to detail.
- Proficient with coding software EHR systems and Microsoft Office applications.
- Ability to work independently while maintaining team collaboration and communication.
- This position is on-site in a professional office environment.
- Standard work hours with occasional flexibility based on departmental needs.
Employment Type
Full Time
