Billing & Coding Coordinator at Healthcare Connection

Cincinnati, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Jul, 26

Salary

0.0

Posted On

07 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Coding, Medical Billing, CPT Coding, HCPCS Coding, ICD-10 Coding, Risk-Adjustment Coding, Claims Coordination, Charge Review, Documentation Improvement, Revenue Cycle Management, EHR Systems, Billing Software, Compliance Auditing, Provider Training, Data Analysis, Communication

Industry

Medical Practices

Description

Career Opportunity: Billing & Coding Coordinator Reports to: Chief Financial Officer Organization: The HealthCare Connection (THCC) Location: Cincinnati, OH - Lincoln Heights - ON-SITE POSITION About The HealthCare Connection: Founded in 1967, The HealthCare Connection was Ohio’s first Federally Qualified Health Center (FQHC). Our mission is to provide quality and accessible primary healthcare services through community responsive approaches that address financial, geographic, and other barriers to care for residents of northern Hamilton County and surrounding areas. THCC is proudly recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of recognition attainable for quality care. We boast two primary care locations and 6 school-based health centers providing quality value-based care for over 20,000 patients. We provide services in Primary Care, Infectious Disease, Substance Use, Integrated Behavioral Health, Dental Services, Women’s Health, and Pharmacy. Benefits: * Health Insurance and Rewards Program * Dental, and Vision Insurance * Free Life & Short-Term Disability Insurance * 403(b) Retirement Plan with employer match * Comprehensive Paid Time Off (PTO) * 10 Paid Holidays Position Summary: The Billing & Coding Coordinator is responsible for accurate coding, charge review, risk‑adjustment support, and claims coordination within an FQHC environment. This role facilitates communication and workflows with the third‑party billing company, ensures compliance with FQHC billing requirements, supports providers with documentation improvement, and participates in revenue cycle special projects. Key Responsibilities: • Perform coding review of encounters to ensure accurate CPT, HCPCS, and ICD‑10 coding in compliance with payer and FQHC rules. • Ensure accurate capture of risk‑adjusting diagnoses (HCC) and communicate documentation needs to providers. • Conduct ongoing coding audits and maintain documentation of findings, trends, and corrective action steps. • Collaborate with the third‑party billing company to resolve coding‑related denials, edits, and claim rejections. • Assist in monitoring A/R trends, denial rates, and vendor performance metrics. • Review charge data for completeness, accuracy, and compliance prior to submission. • Support month‑end close activities including coding reconciliation and reporting. • Participate in special projects such as workflow redesign, EHR template optimization, payer audits, and regulatory updates. • Provide coding and documentation guidance to providers and clinical departments. • Develop and host coding and documentation training sessions for providers and clinical staff to improve coding accuracy, documentation quality, risk-adjustment capture, and compliance. • Ensure adherence to HRSA, UDS, Medicaid/Medicare, HIPAA, and other regulatory requirements. Qualifications: • High school diploma required; associate degree in health information, billing, or related field preferred. • Certified coder required (CPC, CCS, or equivalent). • Experience or training in risk‑adjustment coding; CRC preferred or willingness to obtain within 12 months. • Minimum 2 years of medical billing and coding experience; FQHC experience strongly preferred. • Knowledge of CPT, HCPCS, ICD‑10, PPS/GFQHC billing rules, Medicaid, Medicare, and commercial payer requirements. • Strong communication skills, attention to detail, and ability to collaborate with clinical, administrative, and external teams. • Proficiency with EHR and billing software systems. Preferred: • Risk‑adjustment coding certification (CRC). • Experience coordinating with external billing vendors. • Experience with NextGen and EPIC. Equal Employment Opportunity/Drug-Free Workplace: The HealthCare Connection is focused on creating a community that promotes dignity and respect for employees, patients and other community members. THCC is an Equal Opportunity Employer and a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, military status or other characteristics protected by law and will not be discriminated against based on disability. THCC will only employ those who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of a background check and a drug screen.

Responsibilities

The Billing & Coding Coordinator manages accurate coding, charge reviews, and claims coordination within an FQHC environment. They also facilitate communication with third-party billing vendors and provide documentation guidance to clinical staff.