Job detail

Certified Medical Coder

Physicians’ Primary Care

#Compliance #Documentation #HIPAA #Electronic Health Records #Healthcare #CPT #Claims #HCPCS #Coding #Reimbursement

Quick overview

The coder will review provider documentation to assign accurate ICD-10 CM, CPT, and HCPCS codes while identifying chronic conditions via HCC Risk Adjustment. They will also bridge the gap between clinical care and reimbursement by ensuring clean claims and addressing documentation gaps.

Requirements summary

Candidates must hold a professional certification such as CPC or CPC-A and possess strong knowledge of coding guidelines. The role requires the ability to work independently in an on-site environment while collaborating effectively with providers and billing staff.

professional certificateCommunicationComplianceCPTHCPCSAttention to detailAnalytical skillsHIPAA complianceICD-10 CMDocumentation reviewHCC Risk AdjustmentElectronic health recordsMedical codingBilling supportPayer guidelines

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

Benefits

Employee Assistance Program (EAP)

Health insurance

Dental insurance

Vision insurance

Paid holidays

Paid Time Off (PTO)

401(k) with company match

Life insurance

Disability insurance

Employee appreciation events

Financial advising

Company paid CE courses

Discounted legal and document services

Milestone gifts

Employee Resource Assistance Program (ERAP)

Reimbursement for certifications and licenses