(Apply in 3 Minutes) Certified Medical Coder
Company: Upward Health
Location: Kissimmee
Posted on: July 3, 2025
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Job Description:
Company Overview: Upward Health is an in-home, multidisciplinary
medical group providing 24/7 whole-person care. Our clinical team
treats physical, behavioral, and social health needs when and where
a patient needs help. Everyone on our team from our doctors,
nurses, and Care Specialists to our HR, Technology, and Business
Services staff are driven by a desire to improve the lives of our
patients. We are able to treat a wide range of needs – everything
from addressing poorly controlled blood sugar to combatting anxiety
to accessing medically tailored meals – because we know that health
requires care for the whole person. It’s no wonder 98% of patients
report being fully satisfied with Upward Health! Job Title & Role
Description: The Certified Medical Coder is responsible for
analyzing provider documentation to accurately select ICD-10 and
CPT/HCPCS codes, ensuring compliance with coding guidelines,
third-party reimbursement policies, and accreditation standards.
This role involves performing coding duties for complex cases,
including auditing, reporting, and collaborating with providers to
address coding corrections and clarifications. The individual will
distribute monthly audit reports, address any questions or concerns
from providers, and offer training to staff on coding processes and
requirements. Additionally, the role includes resolving
discrepancies in coding, reviewing and correcting rejected claims
from third-party carriers, and performing other coding duties as
assigned by management to ensure accurate and timely submissions.
Skills Required: - Minimum 2 years of risk coding experience,
preferably in primary care or behavioral health - Certification in
Professional Coding (CPC) required; Certification in Risk
Adjustment Coding (CRC) preferred - High school diploma or GED
required; Associate’s degree preferred - Proficiency in Microsoft
Office, especially Excel - Strong understanding of ICD-10, CPT, and
HCPCS coding systems - Ability to work independently in a remote
environment - Strong interpersonal skills to build relationships
with colleagues and external auditors - Excellent written and
verbal communication skills - Ability to multitask and prioritize
effectively in a fast-paced environment Key Behaviors: Attention to
Detail: - Consistently ensures accuracy and thoroughness in coding
and documentation. Collaboration: - Works effectively with
cross-functional teams, including providers and other staff.
Communication: - Demonstrates clear and professional communication,
both written and verbal, with colleagues and external auditors.
Flexibility: - Adapts quickly to shifting priorities and changes in
a fast-paced environment. Problem Solving: - Takes initiative to
resolve discrepancies and address challenges with coding or claims
issues. Accountability: - Takes ownership of tasks, ensuring
deadlines are met and quality is maintained. Competencies:
Technical Expertise: - Deep knowledge of medical coding, including
ICD-10, CPT, and HCPCS systems, and an understanding of their
application in a multi-state telemedicine and home-based care
environment. Compliance Knowledge: - Familiarity with coding
guidelines, third-party reimbursement policies, and industry
regulations to ensure adherence. Training & Development: - Ability
to educate providers and staff on coding requirements and to lead
training sessions. Time Management: - Efficient in managing
multiple priorities and ensuring tasks are completed on time and
with precision. Customer Service Orientation: - Ability to maintain
a high level of service and professionalism when working with
providers and staff to resolve issues. Upward Health is proud to be
an equal opportunity employer. We are committed to attracting,
retaining, and maximizing the performance of a diverse and
inclusive workforce. This job description is a general outline of
duties performed and is not to be misconstrued as encompassing all
duties performed within the position. Compensation details:
60000-65000 Yearly Salary PIc9b622ace64b-37156-36592839
Keywords: Upward Health, Palm Coast , (Apply in 3 Minutes) Certified Medical Coder, IT / Software / Systems , Kissimmee, Florida
