ICD-10 Coding Specialist I – Family Practice Center

Halifax Health ExpressCare; Daytona Beach, Northern (FL, KY); Hybrid; USD 46,000 - 62,000; Full time

Job summary

Halifax Health ExpressCare is seeking a Coding Specialist I for the Family Practice Center in Daytona Beach, FL. The role codes ED, recurring and ancillary accounts using ICD-10-CM and CPT-4/PCS, verifies charges meet OCE and NCCI edits, and ensures accuracy of diagnoses and modifiers.

The position requires RHIT/CCS/CPC or equivalent certification and strong HIPAA compliance. You will query physicians for documentation clarification, validate Medicare medical necessity, and participate in

Qualifications

• 2-year college coding course incl. anatomy, physiology, medical terminology, CPT-4 & ICD-10-CM/PCS
• 1 year ED/Ancillary coding or charging in acute care
• RHIT, CCS, CCSP, CPC or equivalent certifications required
• Knowledge of Local/National Coverage Determinations (LCD/NCD)
• HIPAA confidentiality and professional coding guidelines
• Excellent data entry, accuracy, and collaboration with physicians and departments
• Ability to organize, prioritize, and perform under stress
• Query physicians for documentation clarification and ensure medical necessity

Responsibilities

• Code ED, Recurring, and Ancillary accounts using ICD-10-CM and CPT-4/PCS codes
• Verify and ensure charges meet OCE and NCCI edits
• Verify accuracy, completeness, and appropriateness of diagnosis codes and modifiers
• Query attending physicians for documentation clarification
• Validate medical necessity for Medicare patients and verify charges
• Support quality improvement initiatives and adhere to AHIMA guidelines

Skills

Attention to detail

Organizational skills

Analytical thinking

Self-starter

Communication skills

Education

2-year college coding course (anatomy, physiology, medical terminology, CPT-4, ICD-10-CM, ICD-10-PCS)

Tools

Encoders

CAC

EHRs

Job description

Halifax Health ExpressCare is seeking a Coding Specialist I for the Family Practice Center in Daytona Beach, FL. The role codes ED, recurring and ancillary accounts using ICD-10-CM and CPT-4/PCS, verifies charges meet OCE and NCCI edits, and ensures accuracy of diagnoses and modifiers.

The position requires RHIT/CCS/CPC or equivalent certification and strong HIPAA compliance. You will query physicians for documentation clarification, validate Medicare medical necessity, and participate in