Coder I – MPG – FT – Days – MSS – Remote Eligible

Job Category: medical billing
Job Type: Remote
Job Location: United States

About Memorial Healthcare System

At Memorial, we are committed to improving the quality of life for the communities we serve. Our compassionate care is supported by a service-driven culture known as The Memorial Experience. We are proud to be one of Florida’s leading healthcare providers and a national model for excellence.

Position Summary

As a Medical Coder, you will ensure accurate coding of diagnoses and procedures using ICD-10, CPT, and modifier codes, contributing to compliant billing and optimized revenue cycle operations. Coders may work in outpatient or physician billing environments based on experience.

Responsibilities

  • Review and assign appropriate diagnosis and procedural codes (including HCC coding for risk adjustment)

  • Utilize encoder systems for CPT, APC, and EAPG coding

  • Review Explanations of Benefits (EOBs), ADT fields, and documentation for medical necessity

  • Identify and validate account edits or discrepancies for resolution

  • Perform data abstraction for billing and quality reporting

  • Communicate with insurance carriers, billing teams, and providers regarding coding accuracy

  • Maintain daily productivity reports and meet departmental quality standards

  • Participate in ongoing training to stay current on regulations and best practices

  • Conduct internal audits and coding reviews with healthcare staff

Required Education & Certifications

  • High School Diploma or GED required

  • One of the following certifications (based on role):

    • Outpatient/Hospital Billing: CCS, CCA, or CPC

    • Physician Billing: CPC, CPMA, CRC, CCS, or CCSP

    • General HIM Roles: RHIT, RHIA, CCS, or CCA

Experience

  • For Hospital Coder: 1 year of outpatient hospital coding experience

  • For Physician Billing Coder: 1 year of procedural/office coding experience or 6+ months at Memorial

Skills & Competencies

  • In-depth knowledge of ICD-10, CPT, and HCC coding standards

  • Understanding of CMS regulations, LCD/NCD guidance, and billing workflows

  • Strong computer literacy and experience with EMR and HIM systems

  • Critical thinking and decision-making ability under minimal supervision

  • Effective communication with providers and cross-functional teams

  • Attention to detail and ability to work in a fast-paced setting

Physical Requirements

  • Mostly sedentary with occasional standing, walking, or light lifting

  • Heavy computer monitor use (80%) and repetitive hand/arm movement (60%)

  • Physical activities may include bending, kneeling, squatting, and reaching (up to 40%)

Work Environment

  • General office setting

  • Low exposure to physical or environmental hazards

Why Join Memorial Healthcare System?

  • Inclusive and mission-driven culture

  • Veteran-friendly employer

  • Equal opportunity workplace

  • Supportive of applicants needing accommodations during the hiring process

Interested candidates are encouraged to apply directly and discuss compensation with a Memorial recruiter.

Need help or accommodations during the application? Call 954-276-8340 (Mon–Fri, 8am–5pm) or email: TalentAcquisitionCenter@mhs.net


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