We are looking for a detail-oriented Certified Professional Coder to join a healthcare team in Boca Raton, Florida in a contract-to-permanent capacity. This role focuses on accurate coding, billing support, and claim-related documentation while helping maintain compliance with healthcare standards and reimbursement guidelines. The ideal candidate is comfortable working in a fast-paced environment, partnering with providers and care teams, and keeping current with evolving coding practices.
Responsibilities:
- Review clinical documentation to determine appropriate medical codes and ensure billing accuracy across assigned encounters.
- Enter claim and encounter details into required systems and prepare supporting records with a high degree of precision.
- Collaborate with physicians, primary care providers, and care coordination staff to address coding questions and support risk adjustment activities.
- Deliver guidance and training on documentation quality, diagnosis selection, and level-of-service coding in alignment with established standards.
- Track updates to coding regulations and apply current guidance to daily work to support compliant billing practices.
- Code patient encounters within expected turnaround times while maintaining a strong standard of accuracy.
- Investigate and resolve coding-related inquiries from multiple provider offices and communicate findings clearly.
- Protect patient privacy, follow organizational policies, and complete additional related duties as needed.C
- High school diploma or equivalent is required.
- At least 2 years of experience in a medical billing, coding, or healthcare office environment.
- Working knowledge of medical terminology and human anatomy.
- Ability to communicate effectively with physicians, clinical staff, and administrative teams.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Strong organizational skills with the ability to manage multiple priorities independently.
- Experience with medical billing, coding, claims, collections, or platforms such as Epaces is preferred. -Advanced experience reviewing high-level E/M services, including 99204-99205 and 99214-99215, with hospital and specialty E/M experience preferred. -Advanced knowledge of current E/M coding guidelines and level selection based on MDM or documented time, when applicable. -Expertise reviewing Modifier 25 and other Global Modifiers and determining whether the E/M service is significant, separately identifiable, and above and beyond the routine work of the same-day -minor procedure. -Demonstrated ability to read complete clinical documentation, extract relevant facts, and make independent coding determinations. -Strong knowledge of CMS, AMA, NCCI, LCD/NCD, Medicare documentation requirements -Experience identifying unsupported services, upcoding, downcoding, and documentation deficiencies.
Certificates, Licenses, Registrations:
· CPC Certification CRC Certification, preferred · CRC Certification, preferred · Medicare Risk Adjustment Certification.