Explore 2 coder ii jobs from 2 hiring companies in Belleview, FL, US. Filter by remote, salary, experience, and company, then open any listing to apply.

coder-ii

Coder Ii

Ocala

The Villages

Silver Springs Shores

Lady Lake

Silver Springs

Leesburg

Eustis

Tavares

Wildwood

Mount Dora

Gainesville

Hernando

Clermont

Homosassa Springs

Apopka

Pine Ridge

Spring Hill

Winter Garden

Deltona

Coder Ii Jobs

Elevance Health

UF Health

Hybrid

Onsite

Classification Title:

Clinical Coder II



Classification Minimum Requirements:

High school diploma or equivalent and three years of professional medical coding experience. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.



Job Description:

The Clinical Coder II performs highly technical and specialized functions and is primarily responsible for performing CPT, HCPCS and ICD-10 coding in accordance with all UFP, B/AR and department standards related to billing protocols and compliance.  The Coder II reviews, analyzes, and codes diagnostic and procedural information that determines insurance payments.  The Coder II is also responsible for performing various administrative and clerical duties and on an as needed basis.
Responsibilities Include: Completion of coding including data entry Epic, Cadence and Resolute. Accurately identifies and codes services using appropriate source documents (clinic note, chart documentation, dictated note or operative report) diagnoses and procedures performed by physicians using ICD-10-CM and CPT classification system.
Posts all charges daily using appropriate ICD-10 and CPT codes, insurance FSC’s, modifiers, and includes pre-certification numbers, referring physicians, secondary providers and documentation when applicable.   Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Review the records for compliance with established third-party reimbursement agencies and special screening criteria.
Maintains up-to-date knowledge base of current coding and compliance information/guidelines. Maintains knowledge base of coding and compliance information.



Expected Salary:

$23 - $25 Hourly 



Required Qualifications:

High school diploma or equivalent and three years of professional medical coding experience.   Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience.
Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC), Certified Outpatient Coder (COC), Certified Compliance Professional-Physician (CCP-P) or Certified Coding Specialists (CCS-P) required.



Preferred:

Experience with EPIC.
Knowledgeable of the fiscal requirements, policies, and procedures of federal, state, and University of Florida UF Health programs.
Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third-party resources.
Be able to follow instructions and work independently.



Special Instructions to Applicants:

In order to be considered, you must upload your cover letter and resume. 
This position is eligible for veteran’s preference. If you are claiming veteran’s preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration. See UF’s <a href="https://jobs.ufl.edu/resources/veterans-preference/">Veteran's Preference Page</a> for more details.
This is a time-limited position.
This requisition has been reposted. Previous applicants are still under consideration and do not need to reapply.
Application must be submitted by 11:55 p.m. (ET) of the posting end date.



Health Assessment Required:
No

Clinical Coder II

HS diploma + 3 years medical coding; CPC/AAPC or CCS-P required.

Anticipated End Date:2026-05-14Position Title:Clinical Fraud Investigator IIJob Description:Clinical Fraud Investigator IILocations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an officePlease note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.PLEASE NOTE: This position is not eligible for current or future VISA sponsorship.The Clinical Fraud Investigator II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.How you will make an Impact:<ul><li>Performs comprehensive analysis and clinical evaluation of the collected data.</li><li>Performs in-depth investigations on identified providers as warranted.</li><li>Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control.</li><li>Review and conducts retrospective analysis of claims and medical records prior to payment.</li><li>Researches new healthcare related questions as necessary to aid in investigations.</li><li>Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.</li><li>Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.</li></ul>Minimum Requirements:Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Experiences and Competencies:<ul><li>Advanced Excel skills, including Pivot Tables</li></ul>Job Level:Non-Management ExemptWorkshift:1st Shift (United States of America)Job Family:FRD &gt; InvestigationPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) &#43;match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact <a target="_blank" href="mailto:elevancehealthjobssupport&#64;elevancehealth.com">elevancehealthjobssupport&#64;elevancehealth.com</a> for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.Prospective employees required to be screened under Florida law should review the education and awareness resources at <a target="_blank" href="https://info.flclearinghouse.com/">HB531 | Florida Agency for Health Care Administration</a>.NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Clinical Fraud Investigator II

Associate Degree in Nursing and/or Certified Professional Coder (AAPC or AHIMA); 4+ years related experience incl. 1+ year in clinical fraud/abuse investigations. Advanced Excel skills preferred.

Coder Ii Jobs in Belleview, FL, US | HiringCafe: every job on earth

Coder Ii Jobs in Belleview, FL, US

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