Medical Coding Operations Specialist II

Community Hospice & Palliative Care•Jacksonville, FL

3d•Onsite

About The Position

The Coding Operations Specialist II is responsible for ensuring accurate and timely revenue capture. This role involves reviewing medical documentation, entering service charges (CPT/ICD-10 codes) into the EHR system, supporting Merit-based Incentive Payment System (MIPS) quality reporting, and reconciling daily patient encounters. The specialist must maintain high-volume data entry standards to ensure compliance, minimize claim denials, and support the organization’s financial and quality performance.

Requirements

Strong understanding of medical terminology, ICD-10-CM, CPT codes, and payer-specific requirements.
Intermediate to advanced skills in MS Office (specifically Excel) and experience with Electronic Medical Record (EMR) systems.
Proficient in 10-key data entry with a target productivity level of 75–100 entries per day.
Exceptional accuracy in high-volume, fast-paced data entry environments.
Proven ability to multitask and manage complex filing systems.
Effective written and verbal communication skills for collaborating with Finance, CNC, and Coding teams.
2–4 years of experience in medical billing, coding, or revenue cycle operations.
Current State of Florida driver’s license with a driving record is acceptable to the organization.
High School Diploma or GED required.

Nice To Haves

Degree, certification or certificate in Medical Billing or Coding (e.g., RHIT, CPB), preferred.

Responsibilities

Review patient data for deficiencies and enter service charges (CPT-4 and ICD-10-CM) into billing software to facilitate timely reimbursement.
Accurately enter MIPS quality improvement measures into the Electronic Medical Record (EMR) for submission to the Centers for Medicare and Medicaid (CMS).
Reconcile daily patient charges and MIPS data to identify missing services or outstanding charges.
Run daily audit reports to verify program accuracy, provider attribution, and the appropriate use of modifiers.
Generate weekly and monthly productivity reports.
Prepare and distribute the CPC claims end-of-month report to Finance and the inpatient backlog/deficiency spreadsheet to CNC.
Maintain organized digital filing systems (folders and directories) for providers and coders; ensure data is retrievable and purge outdated files at specified intervals.
Update patient dispositions in the EMR to ensure seamless tracking and accurate billing triggers.
Meet or exceed defined productivity, compliance, and quality benchmarks.
Keep the Medical Coding Supervisor informed of missing charges, data delays, or necessary process improvements.
Maintain a high level of technical literacy regarding billing hardware and software; assist with special projects for the Medical Coding and Compliance programs as needed.