Job Description

Brief Description

The Coding Specialist is responsible to review, analyze and correct coding of diagnostic and

procedural information based on provider documentation to adhere to coding and

compliance standards, in conjunction with FQHC Billing guides to create clean claims.

Overview of Responsibilities:

● Perform comprehensive review of patient records to assure appropriate CPT and

ICD-10 coding of medical record and FQHC billing guides prior to billing to payers.

● Code for Profee services; heavy E&M coding.

● Code an average of 8-10 charges per hour.

● Assist with claim denials and follow-ups regarding coding errors/modifiers.

● Provide feedback and communicate with provider and clinic staff to obtain

incomplete or missing information needed to process accurate and complete claims.

● Communicate with Coding Analysts to organize daily workload to achieve efficiency

with claim submission.

● Maintain good attendance.

● Demonstrate respectful, professional and appropriate behavior that supports a

team-oriented work environment.

● Demonstrate a commitment to the mission, core values and goals of the company

and its healthcare delivery including the ability to integrate values of justice, respect,

compassion, excellence and stewardship into appropriate programs and services.

Requirements:

● Patient account / billing experience

● CPC or CPC-A

● Coding experience

Additional Skills:

● FQHC - Medicare experience

● EMR experience (EPIC)

● Insurance knowledge/experience

Soft skills:

● Inquisitive

● Confident

● Eager to learn

● Takes initiative

Schedule/Shift:

● Monday - Friday: 7:00 AM - 8:30 AM start time; 8 hour shift

● Hybrid: First week is onsite for training, then will be onsite once per quarter for staff

meetings

Contract Length:

Contract until end of 2025; Opportunity to convert to permanent hire after satisfactory

completion of contract.

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