Job detail

Certified Medical Coder

Physicians’ Primary Care

#Compliance #Electronic Health Records #Analytical Skills #Chronic Conditions #Payer Guidelines #Cpt #Provider Documentation #Claim Denials #Medical Coder

Quick overview

The coder will review provider documentation to assign accurate ICD-10 CM, CPT, and HCPCS codes, ensuring alignment with payer guidelines and identifying chronic conditions via HCC Risk Adjustment coding. Responsibilities also include communicating with providers about documentation gaps, assisting with claim denials, and staying current on coding updates.

Requirements summary

Candidates must possess a certification such as Certified Professional Coder (CPC or CPC-A) and demonstrate strong knowledge of ICD-10 CM, CPT, and HCPCS coding guidelines. Essential attributes include attention to detail, strong analytical skills, the ability to work independently, and experience with electronic health records.

professional certificateAccuracyAttention To DetailAnalytical SkillsComplianceDenial ResolutionCptProvider CommunicationHcpcsHipaa ComplianceIcd-10 CmHcc Risk Adjustment Coding

Job description

Physicians’ Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida . Schedule is Monday through Friday, Day Shift. Are you a coding enthusiast who enjoys solving documentation puzzles and ensuring medical services are accurately translated into codes? Our medical practice is looking for a Certified Medical Coder whom is detailed- oriented , organized and passionate about compliance and accuracy. In this role, you will help bridge the gap between clinical care and reimbursement by ensuring medical records are coded correctly and claims are submitted cleanly. Sample of Responsibilities:
Review provider documentation and assign accurate ICD-10 CM , CPT and HCPCS codes
Ensure coding aligns with payer guidelines and documentation standards
Identify chronic conditions via HCC Risk Adjustment coding
Identify documentation gaps and communicate with providers when clarification is needed
Support clean claims and assist with resolving coding-related denials
Stay current on coding updates and payer policy changes
Maintain compliance with privacy and security regulations including HIPAA

Position Requirements

Certification such as Certified Professional Coder ( CPC or CPC-A)
Strong knowledge of ICD-10 CM, CPT and HCPCS coding guidelines
Attention to detail and strong analytical skills
Ability to work independently while collaborating with providers and billing staff
Experience with electronic health records

Why You’ll Love working Here
Supportive , team - oriented environment
Opportunity to make a direct impact in the success of the practice
A role that combines healthcare knowledge with problem solving skills
Continuous learning in an ever- evolving field

PPC Offers

Over 29 years of serving our Southwest Florida community
Award-winning physicians

Benefits

Dental Insurance

Disability Insurance

Employee Assistance Program

Life Insurance

Paid Holidays

Paid Time Off

Health Insurance

Vision Insurance

401(k) with Company Match

Milestone Gifts

Employee Resource Assistance Program

Free Financial Advising

Company Paid Ce Courses

Reimbursement For Position Required Certifications And/Or License

Discounted Legal And Document Services

Employee Appreciation Events And Gifts