Certified Coder & Auditing (FLORIDA-BASED ONLY - MUST RESIDE)

Dane Street; United States; On-site; USD 65,000 - 90,000; Part time

Benefits offered by this job

Medical, dental, and vision coverage

401k plan with company match

Apple equipment and media stipend

Generous PTO

Disability coverage

Job summary

Dane Street, a fast-paced medical claims auditing firm, is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related services for our clients across Florida. You will evaluate medical records for accuracy, coding compliance, and medical necessity while supporting payer audits and defense strategies.

The ideal candidate must reside in Florida with proven coding experience in E/M services and the ability to provide deposition and testimony

Qualifications

• Requires CPC certification and Florida-based coding experience.
• Strong understanding of medical necessity and documentation compliance.
• Experience with payer audit defense and litigation support preferred.

Responsibilities

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS).
• Conduct utilization reviews to determine medical necessity and documentation compliance.
• Review demand packages and audit response materials.
• Analyze records for payer disputes and recoupments.
• Prepare written audit findings and defensible reports.
• Provide expert support for depositions and testimony as needed.
• Review E/M services under 2021+ guidelines.
• Interpret CMS, LCD/NCD, and payer-specific policies.
• Identify risk areas and compliance vulnerabilities.

Skills

CPC certification

Medical coding

Audit & compliance

Deposition experience

Tools

ICD-10-CM

CPT

HCPCS

Job description

• Review E/M services under 2021+ guidelines

MUST RESIDE IN FLORIDA AND HAVE CODING AND AUDITING EXPERIENCE. Deposition as well as Testimony experience is preferred.

Requirements

We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Florida-based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense.

Responsibilities

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS)


• Conduct utilization reviews to determine medical necessity and documentation compliance


• Review and prepare demand packages and audit response materials


• Analyze records for payer disputes and recoupments


• Prepare written audit findings and defensible reports


• Provide expert support for depositions and testimony as needed


• Review E/M services under 2021+ guidelines


• Interpret CMS, LCD/NCD, and payer-specific policies


• Identify risk areas and compliance vulnerabilities

This position may be part-time depending on the candidate's qualifications. Florida residency is a requirement.

Benefits

• medical, dental, and vision coverage for you and your family


• voluntary life insurance options for you, your spouse, and your children


• other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans


• basic life insurance, short-term disability, and long-term disability coverage at no cost


• generous paid time off policy that ensures you have time to relax and recharge


• 401k plan with company match to help you plan for your future


• Apple equipment and a media stipend for remote workspace

ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.