Certified Coder & Auditing (FLORIDA-BASED ONLY - MUST RESIDE)

1 day, 3 hours ago
Full-time
Senior
Finance and Accounting
Dane Street

Dane Street

Dane Street provides independent medical examination and peer review services tailored for the insurance industry, focusing on areas such as workers' compensation, disability, and auto liability, while emphasizing quality, compliance, and timely delive...

Insurance
251-1K
Founded 2008

Description

  • Perform detailed medical coding audits using ICD-10-CM, CPT, and HCPCS.
  • Conduct utilization reviews to assess medical necessity and documentation compliance.
  • Prepare demand packages, audit responses, written findings, and defensible reports.
  • Analyze medical records for payer disputes and recoupments.
  • Provide support for depositions and expert testimony as needed.
  • Review E/M services under 2021 and later guidelines.
  • Interpret CMS, LCD/NCD, and payer-specific policies.
  • Identify coding, compliance, and documentation risks.

Requirements

  • Florida residency is required.
  • Active CPC certification through the American Academy of Professional Coders (AAPC).
  • At least 5 years of professional coding experience.
  • At least 3 years of Florida-based coding experience.
  • Prior coding audit and utilization review experience.
  • Strong knowledge of Florida Medicaid (AHCA) billing guidelines, fee schedules, and Florida payer policies.
  • CPMA certification preferred.
  • Experience supporting legal cases, depositions, or expert testimony preferred.
  • Excellent written documentation and reporting skills.
  • Ability to work independently and meet deadlines.

Benefits

  • Medical, dental, and vision coverage for employees and families.
  • Voluntary life, hospital indemnity, critical illness, accident, and pet insurance options.
  • Employer-paid basic life, short-term disability, and long-term disability coverage.
  • Generous paid time off.
  • 401(k) plan with company match.
  • Remote workspace support, including Apple equipment and a media stipend.
  • Part-time opportunities may be available depending on qualifications.

Interested in this position?

Apply directly on the company website

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