Coder

Summary: The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites. This role ensures coding accuracy, compliance with federal and payer-specific regulations, and supports timely, clean claim submission within eClinicalWorks (eCW). The Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization's FQHC compliance and reporting requirements (including UDS and Section 330 obligations where applicable).

Required Vaccines and Test: Influenza, Tdap, Hep B, MMR, Varicella, TB test, and Negative Drug Test results. Additional Vaccines may be required.

Essential duties and responsibilities include, but are not limited to:

• Strong analytical and problem-solving skills
• Excellent written and verbal communication for provider queries
• Ability to work independently and manage a high-volume caseload with accuracy
• Proficiency with Microsoft Office (Excel for tracking/reporting)
• High degree of integrity given access to sensitive patient and financial data

Physical Demands: Duties are generally performed in an office environment where hazards and discomforts are controlled and modifiable. This position is primarily sedentary work involving extended computer use. This position requires the ability to stand, bend at the waist, kneel, reach over the head, talk, hear, and see. Must be able to move or lift documents and materials weighing up to 30 pounds. Position requires knowledge and use of typical office equipment including telephones, copiers, fax machines, and personal computers. Position requires frequent contact with fellow employees, patients and community. Position may require travel to other sites for work assignments, meetings or training.

Benefits:

• Medical, Dental, Vision (Medical premiums are partially paid for by Family Healthcare)
• Family Healthcare partners with Health Equity (HSA)
• Paid Time Off, Paid Holidays (13 including a floating Holiday)
• Gym Membership Discount
• 401K available on the 1st day of hire for all employees, Family Healthcare will match dollar for dollar up to 3% and .50 cents on the dollar for the next 2% up to 5% of yearly earnings.
• Profit Sharing: All employees are eligible for up to 5% of yearly earnings after working with Family Healthcare for 6 months consecutively.
• Employee Assistance Program for counseling
• Medical Assistant Apprenticeship Program
• Tuition Reimbursement Program for those seeking Bachelors degree

Education/Experience:

• High school diploma or equivalent required; Associate's degree in Health Information Management or related field preferred
• Active medical coding certification required: CPC (AAPC), CCS (AHIMA), or equivalent
• Minimum 2 years of professional medical coding experience, preferably in a primary care, multi-specialty, or FQHC/community health center setting
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Experience with electronic health record and practice management systems (eClinicalWorks strongly preferred)
• Understanding of payer billing requirements, including Medicare, Medicaid, and commercial insurance
• Strong attention to detail and ability to interpret clinical documentation accurately

Preferred Qualifications:

• Experience coding within an FQHC or Rule of Threes/PPS encounter environment
• Familiarity with 340B program documentation requirements
• Experience with TriZetto clearinghouse or similar claims clearinghouse platforms
• Knowledge of behavioral health and/or dental coding a plus