Coder (Billing)

Job Title:     Coder (Billing)

Salary:         $30-$35hr DOE 

Location:    Treehaven

Openings:   2

Position Purpose: The Jr. Coder is responsible for accurately assigning standardized codes to diagnoses, procedures, and treatments for patient records, insurance claims, and billing processes. This role ensures compliance with applicable coding standards, regulations, and payer policies to facilitate timely and accurate reimbursement.

Core Duties and responsibilities, include but are not limited to:

1. Reviewing patient charts to accurately assign the appropriate billing codes (ICD-10-CM, CPT, HCPCS) for diagnoses, procedures, and services rendered, in accordance with FQHC requirements across all lines of business
2. Assist in the submission of accurate claims to payers after correction
3. Ensuring coding compliance with federal and state regulations as well as insurance requirements
4. Communicate with patients and insurance companies to resolve billing discrepancies
5. Maintain knowledge of the latest coding updates, billing rules, and medical terminology
6. Collaborating with healthcare providers and other personnel to clarify documentation and ensure accurate coding
7. Payment tracking on the procedures based on payer contract.
8. Assist with internal charts audits for all lines of business to ensure accurate coding practices are followed
9. Provide the team with billing procedures guideline
10. You may be assigned additional tasks and projects based on the billing and coding department's needs

*This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.

Education, Qualifications, and Experience:

• Certified Professional Coder (CPC) credential or equivalent certification (e.g., CCS, CCS-P)
• Strong knowledge of medical terminology, anatomy, physiology, and disease processes
• Familiarity with coding systems (ICD-10-CM, CPT, HCPCS) and coding guidelines
• Attention to detail and accuracy in coding assignments
• Ability to work independently and as part of a team
• Good communication and interpersonal skills
• Coding certification is required
• eCW experience is required
• Minimum 1 year of related experience
• Must excel in multitasking within a high-paced environment
• Experience with EHR and practice management systems (e.g., NextGen, eClinicalWorks, EPIC)
• Strong computer skills, acute attention to detail, confident and professional communication
• Responsiveness to the needs of both internal/external stakeholders in a professional and personable manner is expected

Work Schedule:

• FTOC is an in-person organization first, and foremost. Employees are expected to be on-site for their scheduled shifts.
• Hours of operation are Monday to Friday 8 a.m. to 8 p.m., however, employee schedules vary, depending on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs.
• Holidays and weekends may be required depending on an employee’s department due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours.
• Overtime may also occur due to organizational, staffing, community, and patient needs.