Certified Medical Coder II CPC

Mount Sinai Medical Center; Miami Beach (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Retirement plan

Paid time off

Tuition reimbursement

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center in Florida is seeking a senior Medical coder who will apply expert knowledge of ICD-10-CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters. You will review documentation for medical necessity, support charge capture, and collaborate with physicians to ensure compliant reimbursement.

The role requires Florida residency and CPC or CCS-P certification, with 5+ years of coding and billing experience.

Qualifications

• Florida residency required and coding certification(s) up to date.
• Five plus years of coding and billing experience including ICD-10-CM and CPT.
• Knowledge of AMA and CMS guidelines for diagnostic and procedure codes.
• Ability to review documentation for medical necessity and charge capture.

Responsibilities

• Code inpatient and outpatient encounters using ICD-10-CM, CPT and HCPCS.
• Review clinical documentation for medical necessity and reimbursement.
• Collaborate with providers to resolve coding and billing issues.
• Identify and report down coding and up coding trends to leadership.
• Maintain current coding credentials and complete ongoing education.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

Medical terminology

Claims review

Education

High School diploma

CPC or CCS-P Certification

Job description

As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.Culture of Caring: The Sinai WayOur hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.Department:Job Description Summary:Florida residency requiredApplies expert knowledge of ICD‑10‑CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. Reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement.Position ResponsibilitiesKnowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture.Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record.Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes, NCCI edits and LCDs.Performs coding and abstracting on all outpatient/inpatient procedures, evaluation and management encounter documentation and/or operative report by selecting and reporting ICD-10 diagnoses, CPT and HCPCS procedure codes and append modifiers when applicable.Knowledge of how to integrate medical coding guidelines and payor specific coding requirements.Reviews and verifies office superbills and appropriate progress note and/or operative note.Reports daily down coding and up coding documentation issues by practice and by physician to department Manager. Reports any physician documentation issues to department manager.Responsible for being up to date and maintaining currrent status of coding credentials and completes annual continued education hours.Observes work hours and provides proper notice regarding absences and tardiness, informs supervisor about own whereabouts throughout each workday.Performs other related department duties which may be inclusive but not listed in job description.Maintains positive working relationship with Physician Practices and communicates with office staff as needed.QualificationsFlorida residency requiredLicense/Registration/CertificationCPC or CCS-P Certification RequiredEducationHigh School graduateExperienceFive plus years experience in Coding and Billing, Knowledge of ICD-10-CM and CPTBenefits:We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:Health benefitsLife insuranceLong-term disability coverageHealthcare spending accountsRetirement planPaid time offPet InsuranceTuition reimbursementEmployee assistance programWellness programOn-site housing for select positions and more!Degree Requirements:Certification: