CPC-Certified Medical Coding Auditor & Litigation Support (Florida)

Dane Street; Town of Florida, Northern (NY, KY); Hybrid; USD 70,000 - 100,000; Part time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Voluntary Life Insurance

Short-Term Disability

Long-Term Disability

Paid Time Off

401k with company match

Remote workspace stipend

Apple equipment

Job summary

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Florida. The role emphasizes Florida-based coding expertise, understanding of medical necessity and payer policies, and readiness to support depositions and testimony as required.

The candidate should have strong documentation skills, prior audit experience, and the ability to work independently to meet deadlines.

Qualifications

• Active CPC certification through the AAPC.
• CPMA preferred.
• Minimum 5 years of professional coding experience.
• At least 3 years of Florida-based coding experience required.
• Strong knowledge of Florida Medicaid (AHCA) billing guidelines, fee schedules, and payer policies.
• Prior audit and utilization review experience required.
• Experience supporting legal cases, depositions, or expert testimony strongly preferred.
• Excellent written documentation and reporting skills.
• Ability to work independently and meet deadlines.

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.

Skills

CPC certification

CPMA preferred

5+ years coding

Florida-based coding

Florida Medicaid knowledge

Audit and utilization review

Deposition/testimony experience

Documentation skills

Independent & deadline-driven

Job description

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Florida. The role emphasizes Florida-based coding expertise, understanding of medical necessity and payer policies, and readiness to support depositions and testimony as required.

The candidate should have strong documentation skills, prior audit experience, and the ability to work independently to meet deadlines.