Coding Specialist - CPC Required
Trinity Health, Fort Lauderdale, FL, United States
This is a Monday through Friday, 8:00 a.m. – 5:00 p.m. remote position for Holy Cross Medical Group that requires certification. The primary responsibilities are charge entry, charge approvals, charge reviews, and documentation accuracy support for coding, with a strong emphasis on Neurosurgery.
Responsibilities
Perform coding and/or validation of charges for complex service lines and advanced specialties.
Review nursing notes, physician orders, progress notes, and specialty notes to extract and validate all charges, confirming correct patient, encounter, and date of service.
Ensure documentation and coding comply with AMA, Medicare guidelines and other payer regulations; perform CPT and ICD‑10 assignment, documentation review, and claim denial review.
Proof daily charges for accuracy, submit clean claims, balance charges and adjustments, and maintain productivity standards.
Coordinate denial management with Patient Business Service (PBS) centers, analyzing documentation, assisting in appeals, root‑cause analysis, and tracking.
Educate clinical staff on accurate, complete documentation to optimize revenue and ensure integrity.
Conduct outpatient clinical documentation improvement reviews (acute only) as needed.
Research charge trends and communicate findings to internal and inter‑department colleagues.
Maintain minimum productivity standards based on service line and charge type, including chart review, charge extraction, E&M level assignment, and charge entry.
Minimum Qualifications
High school diploma or equivalent, or a combination of education and experience.
Minimum 3 years of relevant coding and charge control experience in a hospital and/or physician practice environment, with knowledge of revenue cycle, billing, coding, and patient financial services.
Strong working knowledge of medical terminology, data entry, supply chain processes, and medical group practice operations.
CPC license required.
Neurosurgery experience preferred.
Demonstrated knowledge of clinical processes, coding (CPT, HCPCS, ICD‑9/10, revenue codes, and modifiers), charging processes, audits, and clinical billing.
Strong understanding of APC, OPPS reimbursement structures, Outpatient Coding Edits (OCE), Correct Coding Initiative (CCI) edits, and Discharged Note Final Billed (DNFB) processes.
Experience with charge capture processes, EMR integration, charge triggers, and charge error investigation; Epic experience desired.
Benefits
Comprehensive benefits package (medical, dental, vision, paid time off, 403(b), educational assistance) starting on day one.
Retirement savings program with employer matching.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment on the basis of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, disability, or any other federal, state, or local protected class. All qualified applicants will receive consideration for employment without regard to any protected status.
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Responsibilities
Perform coding and/or validation of charges for complex service lines and advanced specialties.
Review nursing notes, physician orders, progress notes, and specialty notes to extract and validate all charges, confirming correct patient, encounter, and date of service.
Ensure documentation and coding comply with AMA, Medicare guidelines and other payer regulations; perform CPT and ICD‑10 assignment, documentation review, and claim denial review.
Proof daily charges for accuracy, submit clean claims, balance charges and adjustments, and maintain productivity standards.
Coordinate denial management with Patient Business Service (PBS) centers, analyzing documentation, assisting in appeals, root‑cause analysis, and tracking.
Educate clinical staff on accurate, complete documentation to optimize revenue and ensure integrity.
Conduct outpatient clinical documentation improvement reviews (acute only) as needed.
Research charge trends and communicate findings to internal and inter‑department colleagues.
Maintain minimum productivity standards based on service line and charge type, including chart review, charge extraction, E&M level assignment, and charge entry.
Minimum Qualifications
High school diploma or equivalent, or a combination of education and experience.
Minimum 3 years of relevant coding and charge control experience in a hospital and/or physician practice environment, with knowledge of revenue cycle, billing, coding, and patient financial services.
Strong working knowledge of medical terminology, data entry, supply chain processes, and medical group practice operations.
CPC license required.
Neurosurgery experience preferred.
Demonstrated knowledge of clinical processes, coding (CPT, HCPCS, ICD‑9/10, revenue codes, and modifiers), charging processes, audits, and clinical billing.
Strong understanding of APC, OPPS reimbursement structures, Outpatient Coding Edits (OCE), Correct Coding Initiative (CCI) edits, and Discharged Note Final Billed (DNFB) processes.
Experience with charge capture processes, EMR integration, charge triggers, and charge error investigation; Epic experience desired.
Benefits
Comprehensive benefits package (medical, dental, vision, paid time off, 403(b), educational assistance) starting on day one.
Retirement savings program with employer matching.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment on the basis of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, disability, or any other federal, state, or local protected class. All qualified applicants will receive consideration for employment without regard to any protected status.
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