Medical Necessity Coder, Medical Necessity Management, FT,09A-5:30P

Medical Necessity Coder

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact because when it comes to caring for people, we're all in. At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support Comprehensive health and wellness resources that go beyond traditional benefits A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs Tuition reimbursement to support continued learning and advancement And so much more Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description: Thorough working knowledge of current ICD CM coding system, CPT procedures, medical necessity, medical terminology, anatomy, physiology, and prospective payment system (DRG's). Screen all services for Medicare and Medicaid patients to comply with the Center for Medicare and Medicaid Services (CMS) guidelines in order to determine coverage, eligibility and ensure beneficiary notification when service(s) may not be covered. Ability to work and serve as a reference to internal and external customers. Estimated pay range for this position is $20.02 - $25.43 / hour depending on experience.

Qualifications: Degrees: High School, Cert, GED, Trn, Exper. Additional Qualifications: Required completion of an accredited Certified Coding Specialist program or Associate Degree in Health Information Management Science with two years outpatient coding experience. CPC or CCS preferred. ART or R. R. A. eligible. Thorough working knowledge of medical terminology, anatomy, physiology, current ICD CM coding systems, and CPT. Competency in computer applications, medical necessity verification systems, and prospective payment system (DRG's). Ability to communicate effectively with external customers. Bilingual highly preferred. Minimum required experience: 1 year.