Billing & Coding Specialist

Coding Specialist is responsible for accurate medical coding, claim preparation, denial analysis, and billing support activities. This role ensures proper use of ICD, CPT, and HCPCS codes, correct modifier application, and compliance with NCCI edits and payer requirements. The position supports clean claim submission, denial resolution, and revenue integrity, with preferred experience in Medicare and Florida Medicaid billing environments.

• Assign and validate accurate ICD, CPT, and HCPCS codes for services billed.
• Apply appropriate modifiers and ensure compliance with NCCI edit rules.
• Review claims for coding accuracy and completeness prior to submission.
• Identify and correct coding-related claim errors and rejections.
• Analyze and work denied claims including medical necessity, out-of-network, missing modifier, and incorrect diagnosis coding issues.
• Prepare corrected claims and coding adjustments as required.
• Review pa...