Medical Coding Specialist – General Surgery
Jacksonville, FL - USA
Job Summary
North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivatedMedical Coding Specialistto support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10 CPT and HCPCS codes for billing and reimbursement. This position works closely with providers billing staff and insurance companies to ensure coding accuracy and compliance with federal regulations.
- Review medical records and documentation to assign accurate diagnosis and procedure codes
- Responsible for coding office visits and surgeries
- Collaborate between clinical billing and patient services departments to ensure correct information is obtained for accurate coding and billing
- Accurately review patient medical records and assign appropriate ICD-10 CPT and HCPCS codes to diagnoses procedures and treatments.
- Ensure that coded data is correctly submitted for insurance claims adhering to payer-specific guidelines and medical coding standards.
- Maintain strict adherence to healthcare regulations including HIPAA and ensure the accuracy of coding to minimize claim denials and audit risks.
- Work closely with physicians nurses and other healthcare staff to clarify any discrepancies in documentation and ensure proper coding.
- Conduct regular audits to ensure coding accuracy and identify areas for improvement in documentation practices.
- Stay updated with changes in medical coding guidelines insurance policies and healthcare regulations to maintain certification and improve coding practices.
- Assist the billing team by providing accurate codes for patient billing and insurance submissions.
- Act as liaison with physician offices hospitals and surgery centers regarding documentation for scheduled procedures
- Assist in resolving coding-related claim denials and rejections
- Maintain up-to-date knowledge of coding guidelines and payer policies
- Support audits and compliance initiatives as needed
- Certified Professional Coder (CPC) Certified Professional Coder Apprentice (CPC-A) or Certified Coding Specialist (CCS) certification required.
- At least 3 years experience in medical coding specialties of General surgery ENT ophthalmology vascular orthopedics or plastic surgery with a strong understanding of ICD-10 CPT and HCPCS coding systems.
- Familiarity with medical terminology anatomy and healthcare procedures.
- Strong attention to detail organizational skills and ability to work under pressure.
- Excellent communication skills both written and verbal to effectively collaborate with healthcare providers.
- Knowledge of medical billing practices and healthcare insurance policies.
- Ability to maintain confidentiality and comply with HIPAA regulations.
- Full Time w/Benefits
- Hybrid/Remote Position
- Must reside in the state of Florida
- Must have General Surgery Coding Experience (E/M and Surgery) on the Physician/Professional side
Required Experience:
IC
About Company
North Florida’s largest and most trusted name in surgical care. Whether you’re a physician looking for resources and support or a patient looking for exceptional surgical care, North Florida Surgeons connects you with a trusted network and the tools you need to focus on what matters m ... View more