Medical Coder, Certified - CPC or CCS-P/CCS

Job Description

Job Description

Seeking a highly accurate and detail-oriented Certified Medical Coder (CPC) with experience coding DME, specifically within the Workers’ Compensation sector to work in-office at our Tampa headquarters. This role involves strong knowledge of state-specific Workers’ Compensation guidelines, experience working with payer-specific rules, and prior experience coding services tied to injury-related care. The coder will be responsible for assigning accurate HCPCS codes to ensure compliant billing and optimal reimbursement.

Pay range starts at $50,000+ dependent on experience. Any offer made will be based on the candidate's experience and skill level.

DUTIES AND RESPONSIBILITIES:

• Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations.
• Complying with medical coding guidelines and policies to apply appropriate state-specific Worker’s Compensation rules (including fee schedules and doc requirements)
• Receiving and reviewing orders, contracts and links the data by verifying with accuracy to Provider profiles
• Following up and clarifying any information that is not clear to other staff members
• Implementing strategic processes and choosing strategies and evaluation methods that provide correct results
• Support clean claim submission by proactively identifying and correcting coding issues
• Ensure timely and compliant resubmissions for denials or documentation requests
• Ensure all coding is in compliance with HIPAA, OIG, and industry best practices
• Performs other related duties as assigned by management

QUALIFICATIONS:

• 2-5 years with experience in Healthcare Coding, including HCPCS
• Worker's Compensation Insurance knowledge with experience coding services tied to injury-related care preferred
• Associate's Degree (AA) or equivalent from a two-year college or technical school, or equivalent related experience and/or training required.
• Certificates, licenses and registrations required: Current/Active CPC or CCS-P/CCS
• Computer skills required: Microsoft Office (Excel, Word, Outlook, Teams/Webex/Zoom-type virtual meeting spaces and communication pathways)
• Other skills required: Experience with EHR/EMR systems and billing software (e.g., Kareo, Brightree, or similar), In-Depth knowledge of HCPCS Level II codes

Equal Employment Opportunity Employer