Coder 1 – Billing & Audit
No salary listed
Junior
Miramar, FL, USA
HybridHybrid work within Florida.
Medical, Clinical & VeterinaryClinical Support & Patient Administration
About the job
Requirements
- A high school diploma or equivalent is required.
- For HIM coding, one year of hospital-based outpatient coding experience is required. For Physician Billing Coder, one year of diagnostic/procedural office coding experience with surgical coding experience, or six months working within the Memorial Health System, is required.
- For HIM coding, one of the following credentials is required: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA). For Physician Billing, one of the following is required: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC), Certified Coding Specialist (CCS), or Certified Coding Specialist—Physician Based (CCSP). For Hospital Billing, CCS, CCA, or CPC is required.
- Requires critical thinking, effective communication, decisive judgment, the ability to work independently with minimal supervision, and the ability to take appropriate action in a stressful environment.
- Proficiency in basic computer skills and the ability to perform job duties using an electronic medical record system are required.
- Strong knowledge of anatomy, physiology, medical terminology, coding classification systems, and coding procedures is required.
Responsibilities
- Enhance and maintain coding knowledge and skills.
- Review appropriate work queues daily, address edits, and make corrections following established procedures and processes.
- Seek clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
- Review medical record documentation to determine appropriate diagnosis, procedural, and modifier code assignments, including Hierarchical Condition Category coding where applicable.
- For hospital coding, review medical record documentation, including provider orders, and code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding.
- Submit a daily productivity report to the HIM manager by the defined deadline and meet and maintain HIM coding quality and productivity standards.
- Attend internal and external educational meetings and seminars to maintain certification and continuing education requirements.
- Assign and sequence basic, non-complex Current Procedural Terminology procedure codes and modifiers based on medical record documentation and applicable official coding guidelines, Centers for Medicare & Medicaid Services regulations, Local Medical Review Policy guidance in encoder software, and department coding policies and procedures.
- Use encoder software to review Ambulatory Payment Classification and Enhanced Ambulatory Patient Group assignments.
- Review Local Coverage Determination edits and guidance for codes meeting medical necessity, and research medical records for additional documented diagnoses that meet medical necessity.
- Communicate with insurance companies about coding errors and disputes for physician billing.
- Abstract pertinent data points for billing and quality reviews and communicate with departments as needed to ensure patient data accuracy.
- Review and validate Admission, Discharge, and Transfer field accuracy following HIM coding procedures and processes.
- Conduct audits and coding reviews with healthcare professionals to ensure documentation accuracy for physician billing.
- For physician billing, collaborate with the billing department to ensure all bills are satisfied.
- For hospital billing, route billing charge-entry errors and account edits that prevent completion of coding or billing; make appropriate coding corrections when advised and follow procedures to notify billing.
About the company
Memorial Healthcare System is a large not-for-profit health system in Florida with about 17,000 employees, delivering broad medical care across hospitals and affiliated facilities. Its care is guided by the Memorial Experience, a patient-centered approach that emphasizes deep, personalized attention for patients and their families. It differentiates itself by being among the nation’s largest not-for-profit health systems and by prioritizing diversity, veteran-friendly employment, and a thorough hiring process that includes drug testing. Its goal is to provide exceptional, personalized care and advance the health and well-being of the community.
Company Size
5,001-10,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Easton, Pennsylvania
Founded
1953
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Simplify's Take
What believers are saying
- FY2026 revenue hit $3.8 billion; operating income rose 60% to $220.7 million.
- Memorial added Douglas Road ER, Miramar outpatient imaging, and cardiac institute expansion in 2026.
- September 2026 Aetna renewal and Better Together expansion protect referrals and access.
What critics are saying
- George v. Memorial Healthcare System litigation hit docket activity in September 2026.
- The $670 million tower and new ERs demand sustained volume to avoid margin compression.
- Shane Strum leads both Memorial and Broward Health; dual-system governance strains execution
What makes Memorial Healthcare System unique
- Memorial runs South Florida’s first cardiac-only photon-counting CT at Memorial Hospital West.
- Joe DiMaggio Children’s Hospital and Memorial Regional anchor a six-hospital public network.
- 2026 Healthgrades awards confirm top patient-safety and cardiac quality across multiple Memorial hospitals.
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Benefits
- Health Insurance
- Flexible Work Hours
- Paid Sick Leave
- Paid Vacation
- Mental Health Support