Senior Medical Coding & Revenue Specialist

The Nemours Foundation; Orlando (FL); On-site; USD 52,000 - 76,000; Full time

Job summary

The Nemours Foundation in Orlando, FL seeks a Coding and Billing Specialist to assess medical records and assign ICD-10-CM and CPT codes with appropriate modifiers for hospital and ambulatory services. The ideal candidate has an Associate’s degree, 3–5 years coding experience, and certification such as CPC/CCS/RHIT/RHIA/COC; familiarity with payer rules and revenue capture is essential.

This position emphasizes accuracy, ongoing documentation edits, and collaboration with clinical staff to

Qualifications

• Associate's degree required.
• Medical Terminology, Anatomy and Physiology.
• CPC, CCS, RHIT, RHIA, or COC; CRC preferred.
• 3-5 years experience in coding and billing.

Responsibilities

• Assess documentation to assign codes for services rendered using ICD-10-CM and CPT guidelines.
• Apply appropriate modifiers and ensure alignment with payer rules.
• Analyze and rectify coding gaps to optimize revenue capture.
• Collaborate with clinical staff to ensure accurate documentation.
• Maintain knowledge of state and payer-specific coding guidelines.

Skills

ICD-10-CM coding

CPT coding

Billing accuracy

Attention to detail

Education

Associate's degree

Tools

CPT/ICD coding software

Job description

The Nemours Foundation in Orlando, FL seeks a Coding and Billing Specialist to assess medical records and assign ICD-10-CM and CPT codes with appropriate modifiers for hospital and ambulatory services. The ideal candidate has an Associate’s degree, 3–5 years coding experience, and certification such as CPC/CCS/RHIT/RHIA/COC; familiarity with payer rules and revenue capture is essential.

This position emphasizes accuracy, ongoing documentation edits, and collaboration with clinical staff to