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HCC Pediatric Medical Coder

HCC Pediatric Medical Coder

Physicians' Primary Care of Southwest FloridaFort Myers, FL, US
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Overview

Location : Fort Myers, FL 33907. Job Title : HCC Pediatric Medical Coder. Department : Billing / Coding. Location : Office-Based – NON-REMOTE (Ft. Myers, Florida – Lee County). FLSA Status : Non-Exempt. Reports To : Coding Manager.

Position Summary

Physicians' Primary Care is seeking a detail-oriented and knowledgeable Pediatric Medical Coder to join our team. This is a full-time, office-based position responsible for accurately assigning diagnostic and procedural codes for pediatric services. The ideal candidate will have a strong understanding of pediatric coding guidelines and payer-specific regulations to support appropriate reimbursement and compliance.

Essential Duties And Responsibilities

  • Assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services performed in a pediatric office setting.
  • Review provider documentation to ensure coding accurately reflects services rendered and supports optimal reimbursement.
  • Stay current with industry coding updates, payer guidelines, and regulatory changes, with an emphasis on pediatric-specific policies.
  • Collaborate with clinical staff and providers to clarify documentation when necessary.
  • Participate in internal coding audits and assist with compliance reporting and data analysis.
  • Work closely with the billing and reimbursement team to resolve claim denials or rejections related to coding issues.
  • Support training initiatives and provide feedback on documentation improvement opportunities.

Minimum Qualifications

  • Certified Professional Coder (CPC) required.
  • Certified Pediatric Coder (CPEDC) preferred. If not currently certified, must obtain within 6 months of employment.
  • Minimum of 2 years' experience in medical coding, preferably in a pediatric or primary care environment.
  • Strong knowledge of Evaluation and Management (E&M) coding and documentation requirements.
  • Excellent analytical skills and attention to detail.
  • Proficient with coding software, EHR systems, and Microsoft Office applications.
  • Ability to work independently while maintaining team collaboration and communication.

    • Working Conditions

  • This position is on-site in a professional office environment.
  • Standard work hours with occasional flexibility based on departmental needs.

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    Medical Coder • Fort Myers, FL, US