Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and ...
Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and ...
Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and ...
Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and ...
HCC Coding Educator
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical ... The position serves as a clinical documentation and coding subject-matter expert, partnering with ...
HCC Coding Educator
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical ... The position serves as a clinical documentation and coding subject-matter expert, partnering with ...
HCC Coding Educator
Fort Myers, FL · Remote
$27.57 - $35.84/hr
This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical ... The position serves as a clinical documentation and coding subject-matter expert, partnering with ...
HCC Coding Educator
Fort Myers, FL · Remote
$27.57 - $35.84/hr
This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical ... The position serves as a clinical documentation and coding subject-matter expert, partnering with ...
R eview and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
R eview and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Associate's degree or equivalent. * 1+ year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance industry experience. * Knowledge ...
Associate's degree or equivalent. * 1+ year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance industry experience. * Knowledge ...
... Medicare patients and verify all ancillary and department charges, ensuring they meet OCE and NCCI ... coding guidelines
... Medicare patients and verify all ancillary and department charges, ensuring they meet OCE and NCCI ... coding guidelines
Coding Specialist I
Daytona Beach, FL · On-site
Day (United States of America) Coding Specialist I The Coding Specialist I is responsible for the ... Validate medical necessity for all Medicare patients and verify all ancillary and department ...
Coding Specialist I
Daytona Beach, FL · On-site
Day (United States of America) Coding Specialist I The Coding Specialist I is responsible for the ... Validate medical necessity for all Medicare patients and verify all ancillary and department ...
Coding Specialist
Tallahassee, FL · On-site +1
Surgical coding experience preferred ... Knowledge of Medicare Part B and commercial insurance products and plans. * Familiar with CMS 1500 ...
Coding Specialist
Tallahassee, FL · On-site +1
Surgical coding experience preferred ... Knowledge of Medicare Part B and commercial insurance products and plans. * Familiar with CMS 1500 ...
Coding Specialist II
Fort Myers, FL · On-site
Associate's degree or equivalent. * 1+ year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance industry experience. * Knowledge ...
Coding Specialist II
Fort Myers, FL · On-site
Associate's degree or equivalent. * 1+ year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance industry experience. * Knowledge ...
Coding Specialist has knowledge of third party billing procedures across a variety of pay or ... Must be proficient with Medicare guidelines, self-motivated and detail-oriented. * Understanding of ...
Coding Specialist has knowledge of third party billing procedures across a variety of pay or ... Must be proficient with Medicare guidelines, self-motivated and detail-oriented. * Understanding of ...
Coding Specialist
Orlando, FL · On-site
Coding Specialist has knowledge of third party billing procedures across a variety of pay or ... Must be proficient with Medicare guidelines, self-motivated and detail-oriented. * Understanding of ...
Coding Specialist
Orlando, FL · On-site
Coding Specialist has knowledge of third party billing procedures across a variety of pay or ... Must be proficient with Medicare guidelines, self-motivated and detail-oriented. * Understanding of ...
Assigns procedures, evaluation and management (E/M), and diagnoses codes as documented in the medical records all within the professional coding guidelines, centers for Medicare and Medicaid (CMS ...
Assigns procedures, evaluation and management (E/M), and diagnoses codes as documented in the medical records all within the professional coding guidelines, centers for Medicare and Medicaid (CMS ...
Assigns procedures, evaluation and management (E/M), and diagnoses codes as documented in the medical records all within the professional coding guidelines, centers for Medicare and Medicaid (CMS ...
Assigns procedures, evaluation and management (E/M), and diagnoses codes as documented in the medical records all within the professional coding guidelines, centers for Medicare and Medicaid (CMS ...
Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing ...
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Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing ...
Outpatient Coding Quality Educator Specialist - Coding
Lakeland, FL · On-site
$63K - $79K/yr
... Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback. Responsible for conducting coding and billing ...
Outpatient Coding Quality Educator Specialist - Coding
Lakeland, FL · On-site
$63K - $79K/yr
... Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback. Responsible for conducting coding and billing ...
Manager Coding Operations
Titusville, FL · On-site
Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing ...
Manager Coding Operations
Titusville, FL · On-site
Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing ...
PBO Coding, Educator & Auditor (On-Site)-Operations-FT-BHC-#23345
Fort Lauderdale, FL · On-site
$26 - $29.75/hr
... Medicare and Medicaid (CMS) guidelines, and policies. Oversees coding auditors to ensure the accuracy of audits, identifies opportunities for improvement, and implements corrective resolutions to ...
PBO Coding, Educator & Auditor (On-Site)-Operations-FT-BHC-#23345
Fort Lauderdale, FL · On-site
$26 - $29.75/hr
... Medicare and Medicaid (CMS) guidelines, and policies. Oversees coding auditors to ensure the accuracy of audits, identifies opportunities for improvement, and implements corrective resolutions to ...
PBO Coding, Educator & Auditor (On-Site)-Operations-FT-BHC-#23345
Fort Lauderdale, FL · On-site
$26 - $29.75/hr
... Medicare and Medicaid (CMS) guidelines, and policies. Oversees coding auditors to ensure the accuracy of audits, identifies opportunities for improvement, and implements corrective resolutions to ...
PBO Coding, Educator & Auditor (On-Site)-Operations-FT-BHC-#23345
Fort Lauderdale, FL · On-site
$26 - $29.75/hr
... Medicare and Medicaid (CMS) guidelines, and policies. Oversees coding auditors to ensure the accuracy of audits, identifies opportunities for improvement, and implements corrective resolutions to ...
Manager Coding Operations
Titusville, FL · On-site
Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing ...
Manager Coding Operations
Titusville, FL · On-site
Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing ...
Medicare Coding information
See Florida salary details
$11.86 - $13.11
6% of jobs
$14.01 is the 25th percentile. Wages below this are outliers.
$13.11 - $14.37
26% of jobs
The median wage is $15.09 / hr.
$14.37 - $15.63
31% of jobs
$15.63 - $16.89
7% of jobs
$17.42 is the 75th percentile. Wages above this are outliers.
$16.89 - $18.14
11% of jobs
$18.14 - $19.40
6% of jobs
$19.40 - $20.66
5% of jobs
$20.66 - $21.92
3% of jobs
$21.92 - $23.17
2% of jobs
$23.17 - $24.43
1% of jobs
$24.43 - $25.69
1% of jobs
$11
$16
$25
How much do medicare coding jobs pay per hour?
Will a medical coder be replaced by AI?
What jobs pay $10,000 a month without a degree?
What is the difference between Medicare Coding vs Medical Billing?
| Aspect | Medicare Coding | Medical Billing |
|---|---|---|
| Primary Focus | Assigning medical codes for Medicare claims | Processing and submitting insurance claims |
| Certifications | Medical Coding Certification (e.g., CPC) | Billing and coding certifications often preferred |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Industry Usage | Used mainly in Medicare and insurance claims | Used across various insurance providers |
Medicare Coding involves assigning specific codes to medical procedures and diagnoses for Medicare claims, focusing on accurate coding for reimbursement. Medical Billing encompasses the broader process of submitting claims, following up on payments, and managing patient billing. While they overlap, Medicare Coding is more specialized in coding accuracy for Medicare, whereas Medical Billing covers the entire billing cycle across multiple insurers.
What are the key skills and qualifications needed to thrive as a Medicare Coder, and why are they important?
What is Medicare coding?
What are some common challenges faced by professionals in Medicare coding, and how can these be managed effectively?
What is the highest paid medical coder?
How to become a Medicare reviewer?

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 5 days ago
Job description
What you will do:
Responsible for coding and/or validation of charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice.
Review chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges. Ensure each chart is complete according to specified guidelines. Ensure charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers.
Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for accuracy and clean claim submission c. Responsible for balancing charges and adjustments d. Maintain productivity standards e. Maintain compliance with regulatory requirements
Responsible for denial coordination with Patient Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals, root cause analysis and tracking as needed. 6. Educates clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
Educate clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
Perform outpatient clinical documentation improvement review (acute only) as needed.
Perform research on charges and communicate findings to intra and inter-departmental colleagues.
Maintain a minimum productivity standard, based on service line and charge type; including but not limited to, chart review, charge extraction, E&M level assignment and charge entry.
Other related responsibilities as assigned by manager.
Minimum Qualifications:
High school diploma or equivalent combination of education and experience.
Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services.
Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.
Licensure / Certification: CPC license required.
CardioThoracic and Vascular surgery experience and Neurointerventional experience preferred
Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing. Strong understanding of various medical claim formats.
Knowledge of clinical documentation improvement processes strongly preferred.
Strong knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
Ability to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly. Epic experience desired.
Position Highlights and Benefits:
Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B, and education assistance.
Comprehensive benefits that start on your first day of work
Retirement savings program with employer matching
We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners.
Ministry/Facility Information:
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-service, not-for-profit, Catholic, teaching hospital operating in the spirit of the Sisters of Mercy.
We are the only not-for-profit Catholic hospital in Broward and Palm Beach counties.
Through strategic collaborations and a commitment to being a person-centered, transforming, healing presence, the 557-bed hospital offers progressive inpatient, outpatient and community outreach services and clinical research trials to serve as our community's trusted health partner for life. We are committed to providing compassionate and holistic person-centered care.
Legal Info:
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.