Primary Care Coding Specialist- PART TIME

A Primary Care Coding Specialist analyzes medical records, translates diagnoses and procedures into standardized codes (ICD-10 and CPT), and ensures accurate billing and reimbursement for primary care services. This position works closely with all personnel within our offices, insurance carriers, and our patients. We are looking for a candidate who has a positive mindset and is achievement and goal oriented. Prior ECW experience is a plus. THIS IS A PART TIME ROLE. AROUND 20-25 HOURS A WEEK

Key Responsibilities:

Accurate Coding:

• Review and assign appropriate codes (ICD-10-CM, CPT, HCPCS) for diagnoses, procedures, and evaluation and management services common in primary care. 
• Ensure codes align with medical documentation and coding guidelines.
•  Maintain accuracy and compliance with coding regulations and standards. 

Medical Record Review:

• Analyze medical records, physician notes, and other patient information. 
• Identify relevant information for coding, including diagnoses, procedures, and services provided. 

Billing and Reimbursement:

• Ensure that coded data is accurately integrated into the billing process. 
• Assist with claim submission and follow-up on denied or unpaid claims. 
• Help optimize revenue for the practice through accurate coding and billing practices. 

Compliance and Audits:

•  Stay informed about coding guidelines and changes in the medical field. 
•  Participate in internal or external audits by providing necessary coding documentation or clarifications. 
•  Ensure compliance with HIPAA and other relevant regulations. 
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Other Duties:

• May assist with data collection, record maintenance, and other administrative tasks. 
• May provide guidance to physicians and other staff on coding-related issues. 
• May be involved in resolving coding discrepancies and patient inquiries. 

Skills and Qualifications:

Education and Certification:

• High school diploma or equivalent is typically required.
• Associate's or bachelor's degree in a related field (e.g., health information technology, medical coding) is often preferred.
• Certification as a Certified Professional Coder (CPC) or other relevant coding certification is highly valued.

Knowledge and Skills:

• Strong understanding of medical terminology, anatomy, and physiology.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.
• Familiarity with coding guidelines and regulations.
• Excellent analytical and problem-solving skills.
•  Attention to detail and accuracy.
•  Strong communication and interpersonal skills.
•  Computer proficiency, including experience with electronic health records (EHR) systems.

Experience:

•  Experience in a primary care setting or related healthcare environment is often preferred.
• Experience with medical billing and insurance claims processing is also valuable. 

Experience with eClinical Works and Trizetto is a plus.

*This is NOT a remote position.

About our organization:

West Volusia Family and Sports Medicine is dedicated to the pursuit of excellence in healthcare. We work together as a team to provide quality healthcare. Employees are encouraged to take advantage of training opportunities which facilitate their ability to provide quality care for our patients.

We are an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We are a drug-free work place and all offers of employment are contingent upon passing a pre-employment drug screen.