Certified Medical Coding Specialist

Certified Coding Specialist I

Behind every award is a story, and ours is written every day by more than 900 dedicated employees and hundreds of compassionate volunteers who walk alongside patients and families when they need us most.

At Community Hospice & Palliative Care, we're honored to be recognized with the Hospice Honors Elite award, a testament not just to our clinical excellence, but to the compassion we bring to every bedside, every home, every conversation. Every day, we serve approximately 1,500 patients living with advanced illness, wherever they call home, be it a private residence, a long-term care or assisted living facility, a hospital, or in one of our nine inpatient care centers.

We're here to improve quality of life, to ease pain and lift burdens, and to be the Compassionate Guide that families need when time matters most. And most importantly, as the only non-profit hospice provider in the region, we never turn anyone away due to an inability to pay.

Position Summary

The Certified Coding Specialist I reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance reimbursement.

Essential Functions

Analyzes, abstracts, and translates provider documentation and assigns the correct modifier, evaluation and management (E/M) code utilizing the Current Procedural Terminology (CPT) code set. Analyzes, abstracts, and translates provider documentation and/or the medical record to assign and sequences the correct diagnosis code(s) utilizing International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM). Extracts Merit-based Incentive Payment System (MIPS) quality improvement measures from provider documentation. Queries and follows up with providers when documentation in the record is inadequate, ambiguous, or unclear for coding or MIPS purposes. Submits coded charges to the Charge Entry Specialist to be keyed into billing software. May also be required to key charges in times of high volume or in the absence of the Charge Entry Specialist. Serves as a knowledge resource for coding and reimbursement compliance questions from providers. Meets defined productivity, regulatory and quality requirements. Maintains current knowledge of coding regulations, established coding guidelines and third-party reimbursement policies related to diagnosis coding, E/M coding and procedure coding. Assists management with special projects and performs other duties, as may be required to support the organization's Medical Coding program and Compliance program.

Knowledge and Critical Skills

Proficient CPT and ICD-10 coding skills Medical Terminology; Anatomy and Physiology Proficient in the use of Microsoft Office products especially Excel, Word and PowerPoint Effective communication skills, both written and verbal Excellent organization skills and the ability to multitask Able to assimilate and apply new information quickly

Experience

Medical coding program or CPC preparatory training required Minimum of 1 year of experience required

License / Certification

Certified Professional Coder (CPC) required Current State of Florida driver's license with driving record acceptable to Community Hospice of Northeast Florida. Agency for Health Care Administration (AHCA), Level 2 Background Screen with status eligible required

Education

Associates degree in medical coding, preferred

Other Requirements

N/A

The knowledge, skills and abilities listed above are typically acquired through the levels of education and experience listed. However, any equivalent combination of education and/or experience, which provide an applicant with the listed knowledge, skills, and abilities to perform the essential duties and responsibilities of the job, is acceptable.

This description is intended to describe the general nature and level of work performed by employees assigned to this role. It is not intended to be an exhaustive list of all duties, responsibilities, qualifications, or working conditions required of employees in this position. The organization reserves the right to modify or amend the duties of the position or to require that additional tasks be performed as organizational needs change. This description does not constitute a contract of employment, and employment with the organization is at-will, meaning either the employee or the organization may terminate the relationship at any time, with or without cause or notice.

Community Hospice & Palliative Care, including all of its subsidiaries and affiliated companies, is committed to complying with all applicable provisions of the Americans with Disabilities Act (ADA), as amended. We provide reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and the ability to perform the essential functions of a position. If you require an accommodation to complete the application process, interview, or perform the essential functions of a role, please contact Human Resources.

We participate in E-Verify to confirm the employment eligibility of all newly hired employees. Where applicable, and as required by law, employment with Community Hospice & Palliative Care may be contingent upon successful completion of a background screening initiated by the organization through the Florida Agency for Health Care Administration (AHCA) Background Screening Clearinghouse. Equal Opportunity Employer