{"schemaVersion":"jobsearcher.job.v1","id":"66c1bc868dd58ed93e9286c3","url":"https://jobsearcher.com/jobs/66c1bc868dd58ed93e9286c3","canonicalUrl":"https://jobsearcher.com/jobs/66c1bc868dd58ed93e9286c3","title":"Medical Coder","description":"About Start Corporation\n\nStart Corporation is a 501(c)(3) non-profit organization founded in 1984. Our Mission is to promote opportunities, which enhance the self-sufficiency of people to empower them to live and function independently.\n\nJob Description\n\nWe are looking for an experienced Medical Coder to join our team, apply today!\n\nMinimum Requirements\n\nHigh school diploma or equivalent required.\nMinimum 2-3 years of professional medical coding experience preferred.\nCompletion of an accredited medical coding or medical billing and coding program preferred.\nDemonstrated knowledge of ICD-10-CM, CPT, HCPCS, E/M coding, Medicare and Medicaid coding requirements, and medical necessity.\nKnowledge of medical terminology, anatomy, and healthcare documentation.\nExperience with electronic health records and healthcare billing systems preferred.\nExperience reviewing provider documentation and resolving coding discrepancies.\n\nCore Competencies\n\nAbility to interpret payer policies, coding guidelines, and regulatory requirements.\nStrong analytical skills and attention to detail.\nAbility to communicate effectively with providers and administrative staff.\nStrong attention to detail and accuracy.\nAbility to maintain confidentiality and handle protected health information appropriately.\nAbility to work independently and meet established productivity and accuracy expectations.\n\nJob Duties / Skills Required\n\nCoding and Documentation Review\n\nReview medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes based on documentation and services provided.\nReview and validate E/M coding and appropriate levels of service.\nEnsure coding accurately reflects diagnoses, conditions addressed, procedures performed, and services documented.\nIdentify incomplete, conflicting, or insufficient documentation and communicate with providers when clarification is necessary.\nReview documentation for medical necessity and appropriate linkage between diagnoses and services.\nApply current CMS, Louisiana Medicaid, NCCI, and payer-specific coding guidelines.\nMaintain knowledge of annual and interim coding and regulatory updates.\n\nFQHC/RHC Coding and Billing\n\nApply FQHC-specific billing and coding requirements, including qualifying visits, encounter coding, and applicable HCPCS codes.\nUnderstand the relationship between professional coding and FQHC Prospective Payment System (PPS) reimbursement.\nReview claims for appropriate FQHC billing methodology and payer-specific requirements.\nUnderstand differences among Medicare, Louisiana Medicaid, Medicaid Managed Care, and commercial payer requirements.\nIdentify services that are separately billable, bundled, incidental, or included within the FQHC encounter payment.\nMaintain familiarity with coding requirements for primary care, preventive care, behavioral health, psychiatry, substance use disorder treatment, and other services provided by START Corporation.\n\nClaims Review and Denial Prevention\n\nPerform pre-bill and post-bill coding reviews as assigned.\nReview coding-related claim edits, denials, and rejections and recommend appropriate corrections.\nAssist Revenue Cycle staff with coding-related appeals, reconsiderations, and payer disputes.\nIdentify recurring coding, documentation, or payer issues affecting reimbursement.\nAssist with root-cause analysis of coding-related denials and underpayments.\nIdentify opportunities to improve clean-claim rates and reduce avoidable denials.\nCollaborate with Billing, Revenue Cycle, HIM, Compliance, clinical leadership, and providers to resolve coding issues.\n\nProvider Education and Compliance\n\nProvide coding and documentation guidance to physicians, nurse practitioners, physician assistants, behavioral health professionals, and other clinical staff.\nEducate providers regarding documentation requirements necessary to support billed services.\nCommunicate coding concerns professionally and provide supporting regulatory or coding guidance.\nAssist with internal coding audits and corrective-action initiatives.\nParticipate in provider education regarding CPT, ICD-10-CM, HCPCS, CMS, Louisiana Medicaid, and payer changes.\nIdentify potential compliance concerns and appropriately escalate findings.\nMaintain documentation supporting coding decisions and audit findings.\n\nQuality and Value-Based Care Support\n\nAssist with accurate diagnosis coding related to risk adjustment and value-based care initiatives.\nReview documentation for appropriate capture of chronic conditions addressed during encounters.\nSupport coding accuracy related to quality measures and preventive services.\nCollaborate with clinical and quality teams to improve documentation and coding accuracy while ensuring all reported diagnoses and services are supported by the medical record.\n\nBenefits include: Medical, dental, and vision insurance; disability and life insurance; paid time off; 13 paid holidays per year for regular full-time employees; and a 403(b) retirement plan with employer matching.","company":"Start","rawCompany":"start","city":"Eustis","state":"FL","isRemote":false,"isActive":false,"createdAt":"2026-08-31T10:59:27.967Z","occupations":[{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"},{"code":"31-9094.00","title":"Medical Transcriptionists","slug":"medical-transcriptionists"}],"industries":[{"code":"621999","title":"All Other Miscellaneous Ambulatory Health Care Services","slug":"all-other-miscellaneous-ambulatory-health-care-services"},{"code":"624120","title":"Services for the Elderly and Persons with Disabilities","slug":"services-for-the-elderly-and-persons-with-disabilities"},{"code":"621111","title":"Offices of Physicians (except Mental Health Specialists)","slug":"offices-of-physicians-except-mental-health-specialists"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Medical Coder","description":"About Start Corporation\n\nStart Corporation is a 501(c)(3) non-profit organization founded in 1984. Our Mission is to promote opportunities, which enhance the self-sufficiency of people to empower them to live and function independently.\n\nJob Description\n\nWe are looking for an experienced Medical Coder to join our team, apply today!\n\nMinimum Requirements\n\nHigh school diploma or equivalent required.\nMinimum 2-3 years of professional medical coding experience preferred.\nCompletion of an accredited medical coding or medical billing and coding program preferred.\nDemonstrated knowledge of ICD-10-CM, CPT, HCPCS, E/M coding, Medicare and Medicaid coding requirements, and medical necessity.\nKnowledge of medical terminology, anatomy, and healthcare documentation.\nExperience with electronic health records and healthcare billing systems preferred.\nExperience reviewing provider documentation and resolving coding discrepancies.\n\nCore Competencies\n\nAbility to interpret payer policies, coding guidelines, and regulatory requirements.\nStrong analytical skills and attention to detail.\nAbility to communicate effectively with providers and administrative staff.\nStrong attention to detail and accuracy.\nAbility to maintain confidentiality and handle protected health information appropriately.\nAbility to work independently and meet established productivity and accuracy expectations.\n\nJob Duties / Skills Required\n\nCoding and Documentation Review\n\nReview medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes based on documentation and services provided.\nReview and validate E/M coding and appropriate levels of service.\nEnsure coding accurately reflects diagnoses, conditions addressed, procedures performed, and services documented.\nIdentify incomplete, conflicting, or insufficient documentation and communicate with providers when clarification is necessary.\nReview documentation for medical necessity and appropriate linkage between diagnoses and services.\nApply current CMS, Louisiana Medicaid, NCCI, and payer-specific coding guidelines.\nMaintain knowledge of annual and interim coding and regulatory updates.\n\nFQHC/RHC Coding and Billing\n\nApply FQHC-specific billing and coding requirements, including qualifying visits, encounter coding, and applicable HCPCS codes.\nUnderstand the relationship between professional coding and FQHC Prospective Payment System (PPS) reimbursement.\nReview claims for appropriate FQHC billing methodology and payer-specific requirements.\nUnderstand differences among Medicare, Louisiana Medicaid, Medicaid Managed Care, and commercial payer requirements.\nIdentify services that are separately billable, bundled, incidental, or included within the FQHC encounter payment.\nMaintain familiarity with coding requirements for primary care, preventive care, behavioral health, psychiatry, substance use disorder treatment, and other services provided by START Corporation.\n\nClaims Review and Denial Prevention\n\nPerform pre-bill and post-bill coding reviews as assigned.\nReview coding-related claim edits, denials, and rejections and recommend appropriate corrections.\nAssist Revenue Cycle staff with coding-related appeals, reconsiderations, and payer disputes.\nIdentify recurring coding, documentation, or payer issues affecting reimbursement.\nAssist with root-cause analysis of coding-related denials and underpayments.\nIdentify opportunities to improve clean-claim rates and reduce avoidable denials.\nCollaborate with Billing, Revenue Cycle, HIM, Compliance, clinical leadership, and providers to resolve coding issues.\n\nProvider Education and Compliance\n\nProvide coding and documentation guidance to physicians, nurse practitioners, physician assistants, behavioral health professionals, and other clinical staff.\nEducate providers regarding documentation requirements necessary to support billed services.\nCommunicate coding concerns professionally and provide supporting regulatory or coding guidance.\nAssist with internal coding audits and corrective-action initiatives.\nParticipate in provider education regarding CPT, ICD-10-CM, HCPCS, CMS, Louisiana Medicaid, and payer changes.\nIdentify potential compliance concerns and appropriately escalate findings.\nMaintain documentation supporting coding decisions and audit findings.\n\nQuality and Value-Based Care Support\n\nAssist with accurate diagnosis coding related to risk adjustment and value-based care initiatives.\nReview documentation for appropriate capture of chronic conditions addressed during encounters.\nSupport coding accuracy related to quality measures and preventive services.\nCollaborate with clinical and quality teams to improve documentation and coding accuracy while ensuring all reported diagnoses and services are supported by the medical record.\n\nBenefits include: Medical, dental, and vision insurance; disability and life insurance; paid time off; 13 paid holidays per year for regular full-time employees; and a 403(b) retirement plan with employer matching.","datePosted":"2026-08-31T10:59:27.967Z","dateModified":"2026-08-31T10:59:27.967Z","hiringOrganization":{"@type":"Organization","name":"Start","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Eustis","addressRegion":"FL","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"66c1bc868dd58ed93e9286c3"},"url":"https://jobsearcher.com/jobs/66c1bc868dd58ed93e9286c3"}}