Certified Coding Specialist II | Part-Time | Hybrid WFH

Community Hospice; Jacksonville (FL); Hybrid; USD 33,000 - 36,000; Part time

Job summary

Community Hospice & Palliative Care in Jacksonville, FL seeks a Certified Coding Specialist II for a part-time, hybrid WFH role. You will review and code medical records, lead provider education, and support risk adjustment initiatives, ensuring accurate reimbursement across Medicare, Medicaid, and private payers.

The role emphasizes auditing, CMS guideline compliance, and collaboration with Billing and Charge Entry teams. AHCA background screening applies; CPC certification is required.

Qualifications

• Certified Professional Coder (CPC) required.
• AHCA Level 2 Background Screening (eligible status required).
• CPC prep or Coding program required.
• 3–5 years coding experience required.
• Experience with auditing and provider education preferred.
• Experience with risk adjustment/HCC coding strongly preferred.
• Experience in Hospice, Palliative Care, ASC, or value-based programs preferred.
• Leadership or mentoring experience preferred.
• Advanced CPT, ICD-10-CM, HCPCS, and E/M coding proficiency.
• Strong understanding of CMS regulations, risk adjustment, and MIPS.

Responsibilities

• Reviews, analyzes, abstracts, and translates provider documentation to assign accurate CPT, HCPCS, E/M, and modifier codes.
• Reviews and sequences ICD-10-CM diagnosis codes.
• Identifies and captures applicable HCCs and risk-adjusted diagnoses per CMS and payer guidelines.
• Performs HCC risk adjustment coding for PACE, AIP, and other programs.
• Provides coding support for Hospice, inpatient and outpatient Palliative Care and related programs.
• Extracts MIPS quality measures and other value-based reporting elements.
• Queries providers when documentation is incomplete or ambiguous.
• Conducts coding-related audits to ensure accuracy, coding integrity, and risk capture.
• Develops provider education for physicians and APRNs, including training and follow-up.
• Mentors CSC I staff and, in absence of Manager, may oversee workflow and staff.
• Assists with special projects supporting Medical Coding, Compliance, and Revenue Cycle.

Skills

CPC coding

Auditing

Provider education

HCC coding

MIPS

Leadership

Hospice experience

Education

CPC certification

Coding program

CPC prep

Tools

Excel

Job description

Certified Coding Specialist II | Part-Time | Hybrid WFH

Jacksonville, FL, USA

Job Description

Posted Wednesday, August 26, 2026 at 4:00 AM

Awarded Best Quality of Care — Once Again!

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.

The Certified Coding Specialist II reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance reimbursement. This position serves as an advanced coding subject matter expert, supports provider education, performs audits, supports risk adjustment initiatives, and may assume departmental leadership in the absence of the Medical Coding Manager.

• Work Location: Hybrid, local Work from Home position. In-person company orientation and occasional in-person department meetings required at main company location: Community Hospice and Palliative Care, 4266 Sunbeam Road Jacksonville FL.
• Hours: Part-Time, 20-25 hours per week
• Days: Between Monday - Friday, 8:00am - 5:00pm; actual work days/hours TBD worked out with manager/candidate at time of hire
• Compensation: $24.00 - $26.00 hour

Primary Responsibilities:

• Reviews, analyzes, abstracts, and translates provider documentation to assign accurate CPT, HCPCS, E/M, and modifier codes.
• Reviews, analyzes, abstracts, and sequences of ICD-10-CM diagnosis codes.
• Identifies and captures applicable Hierarchical Condition Categories (HCCs), chronic conditions, and risk-adjusted diagnoses in accordance with CMS and payer-specific guidelines.
• Performs HCC (Hierarchical Condition Category) risk adjustment coding activities for PACE (Program of All-Inclusive Care for the Elderly), Advanced Illness Program (AIP), and other applicable organizational programs.
• Provides coding support for Hospice, inpatient and outpatient Palliative Care, Alivia Supportive Care (ASC), Chronic Care Management (CCM) GUIDE, and future organizational programs.
• Extracts MIPS quality measures and other value-based reporting elements from provider documentation.
• Queries providers when documentation is incomplete, ambiguous, or insufficient for coding, compliance, or quality reporting.
• Conducts coding-related audits including prospective audits for Palliative Care, GUIDE, and other programs to ensure documentation accuracy, coding integrity, and risk adjustment capture.
• Identifies high-performing providers who may qualify for temporary audit exemption based on sustained documentation accuracy while continuing periodic monitoring.
• Develops, implements, and delivers provider documentation education for physicians and Advanced Practice Registered Nurses (APRNs), including:
  • Orientation and annual training
  • One-on-one education in clinical settings
  • Identification of documentation improvement opportunities
  • Monitoring effectiveness through follow-up audits
  • Reporting outcomes to leadership
• Serves as a coding and compliance subject matter expert for Certified Coding Specialist I staff and providers.
• Works closely with Charge Entry and Billing teams to ensure timely and accurate charge submission.
• Reviews Additional Documentation Requests (ADRs) and payer audit requests from Medicare, Medicaid, and commercial payers.
• Assists with development of weekly and monthly departmental reports (coding, audit, productivity, and compliance).
• Maintains knowledge of CMS regulations, coding guidelines, payer policies, NCCI edits, and reimbursement requirements.
• Supports compliance, revenue integrity, and quality improvement initiatives.
• Provides mentoring and support to Certified Coding Specialist I staff.
• In the absence of the Medical Coding Manager, assumes departmental oversight includes workflow coordination and staff supervision as assigned.
• Performs special projects and other duties supporting Medical Coding, Compliance, and Revenue Cycle operations.

Required Licenses/Certifications:

• Certified Professional Coder (CPC) required
• AHCA Level 2 Background Screening (eligible status required)

Education/Experience:
A combination of education and experience that would provide required skills and knowledge for successful job performance would be considered. Typical qualifications would be equivalent to:

• Coding program or CPC prep required
• 3–5 years coding experience required
• Experience with auditing and provider education preferred
• Experience with risk adjustment/HCC coding strongly preferred
• Experience in Hospice, Palliative Care, ASC, or value-based programs preferred
• Leadership or mentoring experience preferred

• Advanced CPT, ICD-10-CM, HCPCS, and E/M coding proficiency
• Strong understanding of CMS regulations, HCC/risk adjustment, and MIPS
• Strong auditing and analytical skills
• Provider education and communication skills
• Microsoft Office (advanced Excel preferred)
• Strong organizational and critical thinking skills
• Ability to manage multiple priorities and work independently

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 [e-mail] .

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. More information about the Clearinghouse, including positions that require screening, can be found here: https://info.flclearinghouse.com . Equal Opportunity Employer