MEDICAL CODING SPECIALIST

FLORIDA DOCTORS GROUP CORP; Coral Gables (FL); On-site; USD 42,000 - 56,000; Full time

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.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Managed care

EHR proficiency

Reports & analytics

Tools

Coding software

EHR systems

Job description

Florida Doctors Group is seeking an experienced Medical Coding Specialist with a strong background in managed care to join our team. This role requires a detail-oriented professional who understands medical coding guidelines, managed care workflows, and the importance of accuracy in a fast-paced healthcare environment.

Benefits:

• Competitive salary
• Dental insurance
• Free uniforms
• Health insurance
• Training & development
• Vision insurance

RESPONSIBILITIES

• Review, assign, and validate ICD-10, CPT, and HCPCS codes in accordance with coding 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

REQUIREMENTS

• Strong knowledge of ICD-10, CPT, and HCPCS coding
• Experience working with managed care plans, including Medicare Advantage and other payer models
• High attention to detail and accuracy
• Ability to review medical records and apply appropriate coding
• Proficiency with electronic health records (EHR) and coding software
• Strong computer skills, including the ability to pull and review reports
• Excellent communication skills, both written and verbal
• Ability to manage multiple priorities in a fast-paced environment

PREFERRED QUALIFICATIONS

• CPC, CCS, or equivalent coding certification
• Prior experience in managed care, MSO, IPA, or medical group setting
• Familiarity with CMS guidelines, HCC coding, and risk adjustment

This is an excellent opportunity to join a growing healthcare organization focused on quality, compliance, and operational excellence.