Medical Coding Specialist Remote - Florida Remote - Georgia Full time R26_0000001370 Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Summary Reviews and completes the medical coding and pricing of the Allocation Worksheets and Calculation spreadsheets prepared by the Analysts. Essential Duties and Functions - Supports the preparation and review of the Allocation worksheet. - Prices DME, facility & medical procedures and surgeries and prescription medications. - Analyze and interpret Allocation worksheet to ensure accurate coding of diagnoses, procedures and services. - Apply appropriate ICD-10-CM, CPT, and fee schedules based on coding guidelines. - Enters the appropriate medical procedure code, NDC prescription drug code and price in the Case Management System. - Strictly adhere to company confidentiality policies and procedures, safeguarding sensitive information at all times. - Any other duties as may be assigned. Qualifications/ Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Required Qualifications - CPT, ICD-10, HCPCS coding, and a working knowledge of NDC codes – minimum 2 years of experience - Workers’ Compensation or Liability experience working with multiple jurisdictions - Working knowledge of the Medicare system, remittance and reimbursement policies - Strong knowledge of anatomy/physiology - Strong mathematics skills - Strong excel skills Preferred Qualifications - Experience coding and billing Orthopedic and Pain Management procedures and surgeries Preferred Certificates or Licenses - Certified Professional Coder and/ or Certified Professional Biller Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: - Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance - Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement - Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services - Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

• The Consultant is seen as a senior level coding professional and provides knowledge, experience and mentorship to the team as well as other staff in the organization.

• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.

Role Description This position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, physician coding, outpatient facility coding, or rectifying pre-bill coding related edits and coding related denials. - Independent coding meeting production and quality metrics. Responsibilities of Role - Surgery coding - Will interact with the Quality Team and physicians. Qualifications - Coding Certifications Requirements - Requires High School Diploma or equivalent. RHIA, RHIT, CCS, CCS-P, COC, or CPC credential required. Acceptable credentials or experience may vary depending on type of role (physician coding, facility coding, pre-bill coding edits). - Requires ability to read, understand and interpret medical records and other treatment documentation. - Requires a high level of interpersonal, problem solving, and analytic skills. - Requires the ability to establish and maintain collaborative working relationships with others. - Requires effective written and verbal communication skills. - Requires strong attention to detail, problem solving and critical thinking skills. - Requires ability to work with and maintain confidential information. Benefits - Access to diverse opportunities to learn and develop in meaningful ways. - Advanced clinical training. - Leadership development. - Promotion opportunities. - Cross training development.