Medical Billing & Coding Specialist
Description:
Salary: $41,743.73 - $48,386.21 Annually
Location : Green Cove Springs, FL
Job Type: Full-Time
Job Number: 2025-123
Department: Detention
Opening Date: 09/18/2025
Closing Date: 9/29/2025 8:00 AM Eastern
Description
The Medical Billing and Coding Specialist supports the delivery of healthcare services within the Clay County Jail. This position is responsible for accurately processing and managing billing for medical care provided to incarcerated individuals. Key responsibilities include verifying clinical documentation, assigning appropriate diagnostic and procedural codes, and ensuring all billing activities comply with federal and state regulations, correctional healthcare standards, and facility-specific protocols. The ideal candidate will demonstrate attention to detail, a strong understanding of medical coding systems (ICD-10, CPT, HCPCS), and the ability to navigate the regulatory landscape of correctional healthcare.
Duties
Review and verify accuracy of patient billing data and insurance information.
Process claims for vendors' (medical, dental, and mental health) services provided to incarcerated individuals.
Use appropriate coding systems (ICD-10, CPT, HCPCS) to ensure accurate documentation and billing.
Work closely with healthcare providers and administrative staff to verify medical records and service details.
Ensure compliance with Medicare and contractual billing guidelines specific to CCSO agreements and MOUs.
Processes inmate claims and adjusts rates according to agreements and Medicare fee schedules.
Inputs medical fees assessed from processed medical claims for the cash account in accordance with agency policy.
Prepare and maintain billing records, invoices, and reports according to facility and legal standards.
Track claim statuses, follow up on unpaid claims, and resolve discrepancies in a timely manner.
Liaise with third-party payers, contractors, or governmental agencies as needed.
Respond to internal and external inquiries regarding billing, coding, and payment issues.
Assist by providing patient information to insurance, such as the Affordable Care Act, for medical coverage for the incarcerated individual.
Maintains a record of qualified insurance coverage for the incarcerated individual.
Submits patient insurance to outside providers to reduce cost of care.
Review and process medical bills and claims to ensure accuracy and compliance with policies.
Communicate with inmates, medical staff, and insurance representatives to resolve billing issues or discrepancies.
Reports cost savings, hospital totals, and amounts paid in the monthly DART report.
Maintain confidential and accurate records of billing, payments, and insurance documentation.
Ensure compliance with relevant laws, regulations, and institutional policies related to inmate healthcare.
Maintain patient confidentiality and comply with HIPAA and correctional facility policies.
Stay informed of changes in billing regulations specific to correctional healthcare.
Maintains Biohazard Waste manifest records.
Maintains licensing with DOH for biohazard waste and inspection records.
Reports identified as potential maintenance, safety, and/or non-compliance findings, hazards, or incidents to the appropriate personnel or department.
Responds to supervision, guidance, direction, and feedback from executive staff and superiors in a receptive manner and in accordance with agency policies.
Conducts themselves in polite, helpful, courteous, ethical, and professional manner abiding by the established code of ethics and demonstrates a professional image when engaged in any activity with the public.
Cultivates positive working relationships with colleagues and other agency units to enhance work area output and services in line with agency policies.
Demonstrates an understanding, consideration, and respect of cultural, religious, and gender differences when interacting with the public and coworkers.
Performs other duties as assigned.
Qualifications and Requirements
LICENCES, EDUCATION AND EXPERIENCE REQUIREMENTS:
High school diploma or equivalent.
Associate degree or certification in medical billing/coding (Certified Medical Billing and Coding Specialist) required, or equivalent work experience in accordance with FSS 112.219.
Three (3) years of experience in medical billing/claims preferably in the correctional setting.
Proficiency in medical terminology and EMR systems.
Strong understanding of correctional healthcare practices.
Detail-oriented with excellent organizational and problem-solving skills.
Ability to work independently and communicate professionally with staff and external agencies.
Current CPR Certification, or may obtain after hire
Speak and understand the English language
Internal candidates must have successfully completed their probationary period
Internal candidates with punitive disciplinary action within 365 days are ineligible
Internal candidates must have completed applicable CCSO FTEP requirements
The following items (or authorized equivalents) may be required at various steps in the application process:
Driver's License
Birth Certificate
Social Security Card
Form DD214 for all periods served in the military
GED or High School Diploma and Sealed Transcripts from the highest level of education
FDLE Authority for Release (notarized)
Supplemental Information
Salary is negotiable for full-time positions prior to initial hire, if requested, based on verified experience up to step five (5) of the assigned pay grade. Current employee salary changes are determined based on internal methodology. Please contact Human Resources with any questions.
Benefits for full time positions include Florida Retirement System, a full suite of very affordable health/life/dental/vision benefits, ancillary insurance policies, college reimbursement, and more. Benefits are effective the 1st of the month after a full 30 days worked. For more information on benefits, please visit
The duration of the selection process may range from one (1) to three (3) months and may vary based on the number of applicants and/or urgency of filling the vacancy.
Applicants are reminded to take note of the close date listed on this job posting. Interviews are not typically requested prior to this date.
If accommodations are required throughout any portion of the hiring process, please contact our Human Resources team at
All positions at the Clay County Sheriff's Office have testing requirements to determine eligibility. All selected candidates will complete a drug screening, polygraph examination and a comprehensive background investigation as a condition of employment. Sensitive and/or confidential aspects of candidates' personal lives may be explored during this process (including driving, drug usage, criminal, employment, and residential histories).
Any job qualifications or requirements listed in this job posting are susceptible to written and/or physical testing. This testing may be included in the competitive selection process.
Reapplication/Retesting of discontinued or disqualified applicants is available after 365 days.
This posting has been reviewed by Human Resources and found to be job related and non-discriminatory. If you are interested in this position, please submit your electronic application at
Clay County Sheriff's Office offers excellent benefits packages outlined below. Benefits are effective the first day of the month after 30 days worked for benefit-eligible employees.
Coverages are provided through the Clay County Board of County Commissioners. You can visit their benefits page
Medical Coverage Comprehensive medical coverage through Florida Blue at competitive rates.Medical coverage is available to all benefit-eligible employees and their eligible dependents.Employees have a choice from two plans, both of which are Preferred Provider Option Plans. In addition to a high subsidy of the premiums, the Sheriff's Office contributes up to 50% of the deductible for the High Deductible- HSA Plan. Family Deductible = $ 4,200.00 Contribution of up to $ 2,100.00 per year
Single Deductible = $ 2,100.00 Contribution of up to $ 1,050.00 per year Dental Coverage
A choice of two dental plans, with the Sheriff's Office covering 100% of the single premium under the Low Plan. The employee will pay the difference in the premium cost if they elect family coverage. Life Insurance
Basic life and accidental death and dismemberment (AD&D) life insurance coverage of $ 20,000 is provided for each benefit-eligible employee. Benefit-eligible employees may purchase additional coverage for themselves, their spouse,and dependent children through the Supplemental Life Insurance program. Long Term Insurance
Benefit-eligible employees may purchase long term insurance through the County's provider for life insurance at affordable rates. Supplemental Insurance
Supplemental Insurances such as short-term disability, hospital, cancer, and accidentare available through Aflac, Colonial Life, and Liberty. Vision Insurance
A voluntary vision plan at affordable rates. Employee Assistance Program (EAP)
A comprehensive employee assistance program, provided by Aetna,which includes counseling, education, and referral services for employees and their eligible family members. EAP services are strictly confidential. Vacation/Sick Leave/Personal Time Off
Full-time employees accrue Personal Time Off (PTO) per year;the accrual rate will increase depending on their length of service with the Sheriff's Office. Holiday Pay
The Sheriff's Office has eleven paid holidays and birthday leave for full-time employees.
New Year's Day
Martin Luther King Day
President's Day
Memorial Day
Independence Day
Labor Day
Veteran's Day
Thanksgiving and the day after Thanksgiving
Christmas Eve
Christmas Day Retirement Plans
The Sheriff's Office participates in the Florida Retirement System. Employees have a choice from two plans under the FRS:Pension Plan and Investment Plan. The Sheriff's Office makes a contribution as set by the Florida legislature towards the plan of choice for each employee and the employee makes a contribution of 3%. Deferred Compensation Plans
Employees may also elect to participate in the County's deferred compensation plan, which offers a choice from two providers:Mass Mutual and Nationwide. Contributions are voluntary by the employee and made on a pre-tax basis. Pre-Tax Benefits
Certain payroll deductions can be taken on a before-tax basis. These include medical and dental premiums, FRS plan contributions, and high deductible plan contributions. Other Benefits include:
Tuition Reimbursement
Florida Deputy Sheriff's Association Membership
Onsite Wellness/Fitness Center *not all locations
Military Service Leave
Bereavement
Direct Deposit Payroll *Temporary, Part-time, and Seasonal employees are not paid for holidays and are not eligible for benefits.
01
Are you at least 18 years old?
Yes
No
02
Do you have a high school diploma or equivalent?
Yes
No
03
Do you have an associate degree or certification in medical billing/coding (Certified Medical Billing and Coding Specialist) required, or equivalent work experience in accordance with FSS 112.219.
Yes
No
04
Do you possess a valid Florida Driver's License?
Yes
No
05
Do you have three (3) years of experience in medical billing/claims preferably in the correctional setting?
Yes
No
06
Have you been convicted of a DUI within the last five (5) years for law enforcement/corrections applicants or three (3) years for civilian applicants, or ever as a law enforcement officer/corrections officer (including military police)?
Yes
No
07
Have you read and understand the Agency Disqualifiers as listed on our website? Agency Disqualifiers can be found at
I have read and acknowledge my understanding of the Agency Disqualifiers
I have not read or understood the Agency Disqualifiers
08
Do you have any convictions for Domestic Violence?
Yes
No
09
Have you ever received a military discharge not classified as "Honorable"? (Ex. General, Administrative, Other Than Honorable, Uncharacterized, etc...)
Yes
No
10
Are you legally authorized to work in the United States? In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form (I-9) upon hire.
Yes
No
11
Visible tattoos determined to be inappropriate or offensive must be covered while at work. Do you have any tattoos above the collarbone (i.e. neck, face or behind the ear)? If yes, describe the tattoo and the location of the tattoo.
12
For the next seven (7) questions --The Clay County Sheriff's Office recognizes an irrevocable responsibility in maintaining the public trust concerning the maintenance of a Drug Free Workplace and the office's responsibility to be in compliance with the Drug-Free Workplace requirements as established in the Anti-Drug Abuse Act enacted by the United States Congress in 1988 and the Florida Drug Free Workplace programs requirements, F.S.S. 440.101 and F.S.S. 440.102 and Chapter 59A of the Florida Administrative Code.The U.S. Court of Appeals, 5th Circuit in Davis v. City of Dallas (no. 84-1814 - November 26, 1985) determined that a requirement prohibiting recent or excessive drug usage is job related.Use of CBD oil can, in some circumstances, result in a positive result for THC during a drug test. A drug test that confirms a positive result for THC will disqualify the applicant from employment. The Sheriff reserves the right to disqualify an individual based upon the totality of the drug use circumstances. Please enter your initials to confirm that you have read and understand these statements.
13
During your lifetime have you ever used any illicit drug after first employment or appointment in the law enforcement field except in connection with official duties?
Yes
No
14
Minor experimentation, as a juvenile, of the drugs listed in the following question, will be considered on a case by case basis. NO chronic usage will be considered. Have you, as an adult, used Cocaine, Illegal steroids (not prescribed), Quaaludes, LSD, M.D.M.A. (Ecstasy, Molly) or PCP within the past 5 years?
Yes
No
15
During your lifetime have you ever used methamphetamine, Rohypnol (Rooffies), GHB (Gamma Hydroxy Butyrate, also known as Grievous Bodily Harm) or similar illegal drugs in any amount?
Yes
No
16
During your lifetime have you ever fraudulently used prescriptions to obtain or use drugs?
Yes
No
17
During your lifetime have you ever illegally used heroin, opium, Fentanyl or any derivative of heroin or opiates?
Yes
No
18
During your lifetime have you ever sold, distributed or conspired to distribute illegal drugs, except as required by official law enforcement duties?
Yes
No
19
Have you used marijuana or hash recreationally during the past 12 months?
Yes
No
Required Question