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 ...
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 ...
Documents in a manner consistent with Medicare coding and documentation guidelines, and conforms to the requirements of PQRS and Meaningful Use and any other quality program in which Wills Eye ...
Documents in a manner consistent with Medicare coding and documentation guidelines, and conforms to the requirements of PQRS and Meaningful Use and any other quality program in which Wills Eye ...
$27.50 - $31.25/hr
Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
$27.50 - $31.25/hr
Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
Austin, TX · On-site
$27.50 - $31.25/hr
Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
Austin, TX · On-site
$27.50 - $31.25/hr
Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
Austin, TX · On-site
$27.50 - $31.25/hr
Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
Austin, TX · On-site
$27.50 - $31.25/hr
Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
RCM Medical Coding Specialist Must reside in the following states : AL, AZ, FL, GA, IL, IN, KS, KY ... Collaborate with RI Specialists and the Denials team on reviewing state and federal Medicare ...
RCM Medical Coding Specialist Must reside in the following states : AL, AZ, FL, GA, IL, IN, KS, KY ... Collaborate with RI Specialists and the Denials team on reviewing state and federal Medicare ...
RCM Medical Coding Specialist Must reside in the following states : AL, AZ, FL, GA, IL, IN, KS, KY ... Collaborate with RI Specialists and the Denials team on reviewing state and federal Medicare ...
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RCM Medical Coding Specialist Must reside in the following states : AL, AZ, FL, GA, IL, IN, KS, KY ... Collaborate with RI Specialists and the Denials team on reviewing state and federal Medicare ...
Cincinnati, OH · On-site
RCM Medical Coding Specialist Must reside in the following states : AL, AZ, FL, GA, IL, IN, KS, KY ... Collaborate with RI Specialists and the Denials team on reviewing state and federal Medicare ...
Cincinnati, OH · On-site
RCM Medical Coding Specialist Must reside in the following states : AL, AZ, FL, GA, IL, IN, KS, KY ... Collaborate with RI Specialists and the Denials team on reviewing state and federal Medicare ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
Flemington, NJ · On-site
$28.85 - $36.06/hr
Medicare and Coding Compliance Reviews and monitors MR for coding compliance, use of Medicare ... website tools, educates providers and staff on applicable billing coding and regulations and ...
Flemington, NJ · On-site
$28.85 - $36.06/hr
Medicare and Coding Compliance Reviews and monitors MR for coding compliance, use of Medicare ... website tools, educates providers and staff on applicable billing coding and regulations and ...
$28.85 - $36.06/hr
Medicare and Coding Compliance Reviews and monitors MR for coding compliance, use of Medicare ... website tools, educates providers and staff on applicable billing coding and regulations and ...
$28.85 - $36.06/hr
Medicare and Coding Compliance Reviews and monitors MR for coding compliance, use of Medicare ... website tools, educates providers and staff on applicable billing coding and regulations and ...
$15.87 - $17.55
6% of jobs
$18.74 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.23
26% of jobs
The median wage is $20.19 / hr.
$19.23 - $20.91
31% of jobs
$20.91 - $22.60
7% of jobs
$23.31 is the 75th percentile. Wages above this are outliers.
$22.60 - $24.28
11% of jobs
$24.28 - $25.96
6% of jobs
$25.96 - $27.64
5% of jobs
$27.64 - $29.33
3% of jobs
$29.33 - $31.01
2% of jobs
$31.01 - $32.69
1% of jobs
$32.69 - $34.38
1% of jobs
$15
$22
$34
| 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.
6.9
Based on 190 frontline employees who took The Breakroom Quiz
443rd of 875 rated healthcare providers
Location:Lee Health -2776 Cleveland AveFort Myers FL 33901
Department: RBE-MPG-LH
Work Type: Full Time
Shift: Shift 1/ to
Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour
SummaryThe HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment documentation through targeted provider education, documentation review, and performance monitoring. This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical Condition Category (HCC) capture accurately reflects patient acuity while remaining fully compliant with CMS and payer audit standards. The position serves as a clinical documentation and coding subject-matter expert, partnering with providers, care management teams, and compliance leadership to optimize risk adjustment outcomes and reduce audit exposure.
RequirementsEducation: Associates degree in health information management, nursing, healthcare administration or related field required.
Experience: Minimum of 3 years experience in HCC coding and risk adjustment. Minimum of 3 years experience in Medicare Advantage, MSSP, ACO or other value-based care models. Demonstrated experience providing provider education or coding feedback. Experience reviewing outpatient clinical documentation for risk adjustment.
Certification: CRC, CPC, CCS, COC, RHIA or RHIT required.
License: N/A
Other:
US:FL:Fort Myers
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Lee Health is one of the largest public health systems in the U.S. and one of the largest not-for-profit public health systems in Florida. With 4 acute care hospitals; Lee Memorial, Healthpark Medical Center, Cape Coral Hospital and Gulf Coast Medical Center, two specialty hospitals; Gaisano Children's Hospital and The Rehab Hospital. Lee Physician Group with over 80 practices throughout Southwest Florida, a Regional Cancer Center, seven outpatient centers, three walk-in clinics and two pediatric outpatient facilities. HEALTHGRADES ranks Lee Healths four acute care hospitals in the top 5% in the nation for overall clinical excellence in 2019, 2020, 2021 AND 2022 and is included in America's 250 Best Hospitals
Health care and social assistance
10,000+ Employees
Fort Myers, FL, US
1916
