MEDICAL CODER III - FULL TIME

JumpStart Games; Lakeland (FL); On-site; USD 55,000 - 75,000; Full time

Job summary

JumpStart Games seeks an experienced medical coder to join our team in Lakeland, FL. You will review and code physician and nurse documentation, ensure accuracy of charges, and maintain compliance with billing guidelines.

The role requires CPC/COC certification, ICD-10 proficiency, and at least five years of medical coding experience. You will work with MedAptus and ETM systems and collaborate with providers and staff to resolve discrepancies.

Qualifications

• Education: High School Diploma or equivalent with CPC/COC certification.
• 5+ years of medical coding experience with strong terminology knowledge.
• ICD-10 proficiency and awareness of carrier guidelines required.

Responsibilities

• Plan and prioritize workflow to maintain a high output of accurate work.
• Review physician and nurse documentation for accuracy and completeness.
• Edit charges and modifiers using established coding guidelines.
• Review MedAptus charges daily and ensure completeness.
• Communicate coding changes to physician offices and staff.
• Monitor uncharged encounters and follow up on missing charges.
• Stay current on coding issues by attending seminars and applying guidelines.

Skills

Analytical thinking

Research capabilities

Written communication

Verbal communication

Problem solving

Education

High School Diploma or Equivalent

AAPC CPC or COC Certification

ICD-10 proficiency

Tools

MedAptus

ETM system

Job description

Description

• Must be able to plan and prioritize workflow and produce an acceptable volume of work accurately.
• Must possess strong analytical and research capabilities to review physician and nurse documentation.
• Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.
• Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties. Reviews and prints charges for data verification for E&M services.
• Reviews, edits and exports MedAptus charges daily to encompass all charges in prior months.
• Communicates coding changes and/or questions to Physicians’ offices to appropriate staff.
• Monitors uncharged encounters in MedAptus and sends notices to Physician offices on missing charges.
• Reviews ETM charges on a daily basis, reviews auto exported charges at the end of the day and makes necessary changes to release charges to billing system.
• Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific, State or Federal billing guidelines.
• Consistently stays within department goal for lag time for productivity accountability.

Essential Functions

• Must be able to plan and prioritize workflow and produce an acceptable volume of work accurately.
• Must possess strong analytical and research capabilities to review physician and nurse documentation.
• Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.
• Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties. Reviews and prints charges for data verification for E&M services.
• Reviews, edits and exports MedAptus charges daily to encompass all charges in prior months.
• Communicates coding changes and/or questions to Physicians’ offices to appropriate staff.
• Monitors uncharged encounters in MedAptus and sends notices to Physician offices on missing charges.
• Reviews ETM charges on a daily basis, reviews auto exported charges at the end of the day and makes necessary changes to release charges to billing system.
• Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific, State or Federal billing guidelines.
• Consistently stays within department goal for lag time for productivity accountability.

Requirements

Required Education and Experience: Education: High School Graduate or Equivalent. Must be a certified coder either through AAPC or an equivalent organization. Certificate of ICD-10 proficiency required.

Experience: 5 or more years of experience in the medical coding field. Must have a good knowledge of medical terminology, anatomy, diagnosis and procedure codes.

Additional Eligibility Qualifications: Must have a minimal of CPC or COC with a specialty certification from the AAPC or equivalent organization.