In-house Coding Specialist

IMA Medical Group; Lakeland (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

A healthcare organization in Florida is seeking a full-time in-house Coding Specialist to enhance its MRA Department. The role involves reviewing medical records, consulting with physicians, and ensuring accurate diagnosis coding in compliance with CMS and ICD-10 guidelines. Ideal candidates should hold CPC, CRC, or CCS certifications, have a minimum of 1-year experience in medical coding, and possess strong knowledge of CMS Risk Adjustment methodology. Excellent communication and computer skills are essential for success in this role.

Qualifications

• CPC, CRC, or CCS certification required.
• 1+ years’ experience in Medicare Risk Adjustment and medical coding.
• Current knowledge of ICD-10 is essential.

Responsibilities

• Review and analyze medical records for coding accuracy.
• Consult with physicians on documentation and coding.
• Ensure compliance with ICD-10 guidelines and CMS rules.

Skills

Medical terminology

CMS Risk Adjustment methodology

Attention to detail

Interpersonal skills

Strong computer skills

Education

High school diploma or higher

Tools

Microsoft Word

Microsoft Outlook

Excel

Athena

Job description

Overview

We are excited to announce an opening for a full-time in-house Coding Specialist to assist our MRA Department. You will collaborate with physicians and their staff to review medical records and other clinical documentation to ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. If you want to help our organization continue to grow, read on!

Key Responsibilities

• As a Coding Specialist, you will be responsible for reviewing medical records, abstracting, and analyzing physician documentation, and consulting with physicians in assigning appropriate clinical diagnoses and accurate documentation in alignment with CMS risk adjustment methodology.
• Reviews patient records prior to and following office visit to assess and interpret whether the coding assigned is correct and supported based on a review of the medical documentation and coding guidelines.
• Follows the Official ICD-10 guidelines for coding and reporting and has a complete understanding of the guidelines.
• Follows CMS rules and regulations.

Requirements

• CPC, CRC, or CCS certification required.
• 1+ years’ experience in Medicare Risk Adjustment and medical coding.
• High school diploma or higher.
• Must be able to work well and interact with others in a positive and professional manner.
• Must have an excellent understanding of medical terminology, disease process and anatomy, and physiology.
• Current knowledge of ICD-10.
• Strong knowledge of CMS Risk Adjustment methodology and regulations.
• Organized and Detail-Oriented
• Strong computer skills with Microsoft Word, Microsoft Outlook, and Excel.
• Athena experience preferred.
• Must have a valid Florida driver's license and reliable transportation.