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Coding Specialist I – FULL-TIME REMOTE (MUST RESIDE IN FL, GA or TN) in Land O Lakes, FL ID-11095

This FULL-TIME opportunity is within the Central Business Office. The scheduled shift will be Monday-Friday, 8-5.

**REMOTE – MUST RESIDE IN FL, GA or TN**

The Certified Medical Coding Specialist must possess a current AAPC CPC medical coder certification. The coder must be detail-oriented and exhibit a high degree of accuracy and working knowledge of medical terminology, anatomy, and physiology. The coder must have expert skills in the proper use of the ICD-9/ICD-10, CPT, HCPCS coding manuals, as well as, Medicare’s National Correct Coding Initiatives (NCCI) edits. Major responsibilities include efficiently analyzing medical claims before submission to insurance for accuracy of coding, knowledge and skill to resolve insurance denials, and the ability to accurately complete medical record chart audits while adhering to Medicare’s 1995/1997 E/M Documentation Guidelines and individual payer policies.

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WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES?

We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.

  • Gives you an employer that you will have pride in working for
  • Provides excellent training programs and opportunities for growth
  • Offers Medical Benefits including:
  • Employer Contributions to HSA high deductible plan
  • Discounts at our medical facilities
  • Cigna Open Access OAPIN & OAP plans
  • Supports Incentive based Wellness Programs
  • Offers company sponsored Life Insurance with buy-up provisions
  • Provides Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
  • Supports Paid Time Off and Holidays
  • Gives generous 401K plan with annual 3% Employer contribution after one year of employment
  • Values and appreciates its employees
  • Boasts a reputation for superior health care and quality service

Work Style/Location

  • While onsite support may be required occasionally, this position will permanently report to a remote/work at home office.

Required Equipment for Remote Workforce

  • Minimum internet hardwired internet speed of 10m x 1m (Satellite, Wireless and or Hot Spot service are prohibited)
  • A dedicated secure home workspace for interview and for work purposes.
  • Acknowledgement and Compliance with all aspects of the Remote Workforce Agreement
  • Employee will be provided with the below equipment:
  • Mini PC
  • Two Monitors
  • Webcam
  • Connection Cables

Essential Functions of the Position:

  • To exhibit expert coding skill in the proper use of the ICD-9/ICD-10, HCPCS, and CPT coding manuals, including MedicareÂ’s National Correct Coding Initiative (NCCI) edits.
  • Efficiently analyze insurance claims independently before submission; to submit claims with accurate coding at all times and in a timely fashion to ensure optimum reimbursement and compliance.
  • Contributes to the achievement of the Coding Department goals and objectives and adheres to departmental policies, procedures, and performance standards.
  • Demonstrate proficiency in using Payer and coding websites to stay up-to-date on coding issues, coding changes, or other that affects compliance and reimbursement and shares appropriately with the rest of the coding staff.
  • Effectively integrates coding/billing changes through the proper channels; changes in workflow and revenue issues must be forwarded to the attention of the coding manager.
  • Demonstrates excellent communication skills both verbally and written when dealing with either business or clinical staff (e.g., patient complaints, provider questions, coding feedback). Effective listening techniques.
  • Demonstrates the ability to quickly identify and investigate possible coding compliance issues and trends; performs thorough and complete investigation, and reports any significant findings to the attention of the coding manager in a timely fashion.
  • Demonstrate an appropriate overall level of performance according to job grade level; as determined by the coding manager (e.g, coding skill, problem solving, leadership, and needed supervision).
  • To complete additional work projects or assignments as given, accurately and in a timely fashion.
  • To perform as a team player to help meet the departmentÂ’s monthly goals, and to provide cross coverage in other coding areas when needed.

Adheres to all HIPPA privacy and security policies

Keys to Success in this Role:

  • Exhibit expert coding skills
  • Efficiently analyze insurance claims before submission
  • Quickly identify potential compliance issues
  • Ability to proficiently use Payer and coder websites
  • Perform incidental duties as needed

Job Qualifications:

  • High school graduate or GED equivalent
  • Proficiency in anatomy and medical terminology.
  • At least one of the following credentials: Certified Professional Coder (CPC)
  • One year experience as a certified coder.
  • In the FMC, Central Business Office, Certified Processional Coders (CPC) are highly preferred.
  • Proficiency in anatomy and medical terminology.
  • Must be able to interact independently with all providers and clinical/business staff to conduct business activities in a courteous and professional manner.
  • Requires proficiency in a Windows based computer environment and skill navigating through a typical Practice management and EHR systems.
  • Requires proficiency in using the Internet to access payer websites for policies and rules.
  • Experience in specialty coding required
  • Multi-Specialty coding and working coding related denials from a payer is preferred.
  • Must be a Florida Resident

Physical and Mental Demands:

  • Average physical ability; able to sit for long periods
  • Above average concentration and high level complexity of decision making
  • High level of analytical, critical thinking, and reasoning skills
  • High level verbal and written communication skills
  • Above average ability to manage multiple tasks simultaneously

Occupational Exposure:

  • Low risk exposure to bloodborne pathogens and chemical hazards

We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status.

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