Florida Medical Coding Auditor & Litigation Support Expert

Dane Street; Washington (District of Columbia); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Voluntary life insurance

Short-term and long-term disability

401k with company match

Remote workspace stipend

Paid time off

Job summary

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks. The ideal candidate will have strong Florida-based coding experience and knowledge of medical necessity and payer audits.

Responsibilities include supporting legal cases with deposition and testimony when needed, and reviewing E/M services under 2021+ guidelines, while aligning with CMS, LCD/NCD, and payer policies.

Qualifications

• Active CPC certification through AAPC is required.
• Minimum 5 years of professional coding experience.
• At least 3 years of Florida-based coding experience required.
• Strong knowledge of Florida Medicaid billing guidelines and payer policies.
• Prior audit and utilization review experience required.

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

Florida-based coding experience

Auditing experience

Deposition/testimony experience

Florida Medicaid knowledge

Education

CPC certification (AAPC)

CPMA preferred

Tools

ICD-10-CM

CPT

HCPCS

Florida AHCA guidelines

Job description

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks. The ideal candidate will have strong Florida-based coding experience and knowledge of medical necessity and payer audits.

Responsibilities include supporting legal cases with deposition and testimony when needed, and reviewing E/M services under 2021+ guidelines, while aligning with CMS, LCD/NCD, and payer policies.