Managed Care Medical Coder – Accuracy & Compliance

FLORIDA DOCTORS GROUP CORP

Coral Gables (FL)

On-site

USD 42,000 - 56,000

Full time

14 days+

Application generator

Turn this role into an interview — a resume and cover letter built around what this employer wants.

Get past ATS filters

Benefits offered by this job

Competitive salary

Dental insurance

Free uniforms

Health insurance

Training & development

Vision insurance

Job summary

Florida Doctors Group is seeking an experienced Medical Coding Specialist with a strong background in managed care to join our team. This role emphasizes accurate ICD-10, CPT, and HCPCS coding within payer guidelines and CMS standards.

The ideal candidate will review medical records for complete documentation, support risk adjustment and utilization reviews, and collaborate with clinical and administrative teams to resolve coding issues. Strong EHR skills and attention to detail are essential.

Qualifications

Strong knowledge of ICD-10, CPT, and HCPCS coding.
Experience with managed care, including Medicare Advantage.
High attention to detail and accuracy.

Responsibilities

Review, assign, and validate ICD-10, CPT, and HCPCS codes in accordance with guidelines and managed care requirements.
Ensure coding accuracy and compliance with payer, CMS, and regulatory standards.
Support managed care processes, including risk adjustment, quality initiatives, and utilization review.
Review medical records to ensure complete and accurate documentation for coding purposes.
Assist with audits, corrections, and coding-related inquiries.
Work closely with clinical and administrative teams to resolve coding issues.
Maintain updated knowledge of coding regulations, payer rules, and managed care guidelines.
Prepare and pull coding-related reports as needed.