The Coding Specialist is responsible for routine and complex encounter coding validation and code assignment, ensuring appropriate coding of services and diagnoses based on a thorough review of clinical documentation in the medical record. This position provides accurate and timely medical, dental, and/or behavioral health coding for One Community Health’s health centers and programs. The Coding Specialist adheres to official coding guidelines to maintain compliance with CMS fraud, waste, and abuse regulations and works collaboratively with Billing Services and the Revenue Cycle team. This role requires a partnership-based, accountable approach in alignment with One Community Health’s Mission, Values, Service Commitments, and Goals. This position is full-time and located at our clinic in Hood River, Oregon.

MINIMUM QUALIFICATIONS:

• Strong attention to detail
• Working knowledge of Commercial, TPL, and Government payer guidelines
• Knowledge of collection policies and guidelines, including CPT, HCPCS, and ICD-10 code systems
• Proficiency in medical terminology
• Ability to manage multi-line telephone calls
• Ability to work in a fast-paced environment
• Strong organizational skills and the ability to prioritize competing deadlines
• Demonstrated ability to meet team and organizational timelines with safety and high-quality standards
• Effective relationship management skills in a multidisciplinary, multicultural environment
• Initiative and sound judgment to resolve problems and challenges
• Ability to work with ambiguity and promote a team-oriented environment
• Strong communication skills; able to build trust and confidence with internal and external stakeholders
• Ability to work independently and manage multiple projects while maintaining confidentiality
• High-level computer proficiency, including Microsoft Word, Excel, Outlook, EHR systems, and other relevant tools
• Knowledge and compliance with HIPAA regulations and workplace safety protocols
• Ability to identify personal learning needs and develop a plan for continued growth

REQUIRED EDUCATION:

• High school diploma or GED
• Graduate of an AHIMA-accredited Health Information Technology program or self-study certification course from AHIMA or AAPC
• Completion of coursework in medical terminology, anatomy, and physiology

PREFERRED EDUCATION:

• Associates Degree with Active Credentials as a Registered Health Information Technician (RHIT) or bachelor’s degree with Active Credentials as a Registered Health Information Administrator (RHIA) or Associate degree in medical billing field.

REQUIRED EXPERIENCE:

• 2 years of healthcare coding experience in a primary care setting
• 2 years of EHR experience
• Understanding of healthcare procedures, workflows, and data flow

PREFERRED EXPERIENCE:

• Outpatient and professional coding experience
• Behavioral health and dental coding experience
• Experience with Federally Qualified Health Centers (FQHC)
• Familiarity with HRSA requirements
• Experience with Epic EHR

Please refer the Job description for details