Florida Licensed Outpatient Coder

Job Summary

To support a large academic university health system and Level I Trauma Center, the full-time or part-time Florida Licensed Outpatient Coder will focus on outpatient coding edits and claim review activities, ensuring accurate code assignment, modifier usage, and compliance with NCCI/CCI while working remotely.

Key Responsibilities

• Review and resolve outpatient coding edits for facility-based services
• Analyze and correct NCCI/CCI edits to ensure coding compliance and claim accuracy
• Collaborate with coding, compliance, revenue cycle, and clinical teams to resolve coding discrepancies

Required Qualifications

• Minimum 2 years of facility outpatient coding experience
• Experience with NCCI/CCI edits, modifier review, and medical necessity review
• Strong understanding of CMS regulations and outpatient reimbursement methodologies
• Proficiency in using Cerner and 3M coding systems
• Ability to work independently in a remote environment while maintaining quality and productivity standards