CPC Medical Coder – Audits, Compliance & Litigation (FL)

Dane Street; West Palm Beach (FL); On-site; USD 85,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k plan with company match

Apple equipment and media stipend for远

Paid time off

Job summary

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks from Florida. The role includes supporting litigation with deposition and testimony when needed, with emphasis on Florida-based coding, medical necessity, documentation compliance, and payer audit defense.

The candidate should have strong credentials in AHCA billing guidelines and prior audit experience, and must reside in Florida.

Qualifications

• Active CPC certification through the American Academy of Professional Coders (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 Florida 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

Medical coding

Auditing

Deposition support

Documentation

Independent work

Education

CPC certification (AAPC)

CPMA preferred

Job description

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks from Florida. The role includes supporting litigation with deposition and testimony when needed, with emphasis on Florida-based coding, medical necessity, documentation compliance, and payer audit defense.

The candidate should have strong credentials in AHCA billing guidelines and prior audit experience, and must reside in Florida.