Certified Medical Coder II CPC

Mount Sinai Medical Center of Florida•Miami Beach, FL

About The Position

Mount Sinai Medical Center is hiring a Certified Medical Coder II. Florida residency is required. The role applies expert knowledge of ICD-10-CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. It reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to help ensure accurate, compliant reimbursement. The coder performs coding and abstracting for outpatient and inpatient procedures, evaluation and management encounters, and operative reports. The role includes reviewing superbills and clinical notes, identifying documentation issues, reporting coding trends to the department manager, maintaining current coding credentials and completing continuing education. The position also requires coordination with physician practices and office staff.

Requirements

Florida residency required.
CPC or CCS-P certification required.
High school graduate.
1–2+ years of experience in coding and billing.
Knowledge of ICD-10-CM and CPT.

Responsibilities

Apply coding rules, regulations, and compliance requirements to address medical necessity, claims denials, bundling issues, and charge capture.
Use medical terminology, anatomy and physiology, disease processes, and knowledge of clinical findings to support existing diagnoses or substantiate additional diagnoses in the medical record.
Apply AMA and CMS coding conventions and rules, including NCCI edits and LCDs.
Code and abstract inpatient and outpatient procedures, evaluation and management encounters, and operative reports; assign ICD-10 diagnoses and CPT and HCPCS procedure codes, and append modifiers when applicable.
Integrate general medical coding guidelines with payer-specific coding requirements.
Review and verify office superbills and appropriate progress notes and/or operative notes.
Report daily downcoding and upcoding documentation issues by practice and physician to the department manager.
Report physician documentation issues to the department manager.
Maintain current coding credentials and complete annual continuing education hours.
Observe work hours, provide proper notice regarding absences and tardiness, and inform the supervisor of whereabouts during each workday.
Maintain positive working relationships with physician practices and communicate with office staff as needed.
Perform other related department duties.