Certified Medical Coder II CPC

Mount Sinai Medical Center•Miami Beach, FL

10d

About The Position

The Certified Medical Coder II 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. The role reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement. Florida residency is required.

Requirements

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

Responsibilities

Apply coding rules and compliance knowledge to address medical necessity, claims denials, bundling issues, and charge capture.
Use knowledge of medical terminology, abbreviations, techniques, surgical procedures, anatomy, physiology, and disease processes to support diagnoses and identify clinical findings relevant to the medical record.
Apply AMA and CMS coding conventions and rules, including NCCI edits and LCDs.
Code and abstract outpatient and inpatient procedures, evaluation and management encounters, and operative reports; assign ICD-10 diagnoses and CPT and HCPCS procedure codes, and append modifiers when applicable.
Integrate medical coding guidelines with payer-specific coding requirements.
Review and verify office superbills and the appropriate progress notes or operative notes.
Report daily downcoding and upcoding documentation issues by practice and physician to the department Manager, and report physician documentation issues to the department Manager.
Maintain current coding credentials and complete annual continuing education hours.
Observe work hours, provide proper notice of 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.