MEDICAL CODING SPECIALIST

Benefits:

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.