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Certified Professional Coder

Cahealthnet

  • # Description**Capital Area Health Network (CAHN)***Richmond, VA - On-Site Position*Make a real impact with Capital Area Health Network (CAHN), a dynamic and growing Federally Qualified Health Center (FQHC) located in the heart of Richmond, VA. We're expanding our team and seeking talented, mission-driven professionals who want to elevate community health. At CAHN, we innovate, we serve with purpose, and *we are just better.* Step into a role where your work creates lasting change.-**Our Core Values****Compassion** - We treat every person with dignity and fairness, ensuring no one feels alienated or discriminated against.**Accountability** - We safeguard confidentiality and remain transparent with all stakeholders.**Reverence** - We are called to serve and uplift those in need while fostering mutual respect.**Excellence** - We commit to continuous learning to deliver culturally responsive, high-quality care.**Stewardship** - We manage resources responsibly for the benefit of our organization and community.-**Who We Are**CAHN provides comprehensive primary care, dental services, and behavioral health support, ensuring every person receives the quality care they deserve - regardless of background or circumstance.**Our Mission:**To deliver effective, accessible, and culturally responsive care, education, and advocacy that promote health and quality of life.***Discover a place where your work makes a difference.***We are seeking a highly skilled and experienced Senior Certified Coder with expertise in Federally Qualified Health Center (FQHC) coding and billing practices. The ideal candidate will hold a certification through either the AAPC (American Academy of Professional Coders) or RHIT (Registered Health Information Technician) and possess in-depth knowledge of FQHC coding standards, payer requirements, and federal healthcare regulations.As a Senior Certified Coder, you will be responsible for accurately coding a variety of services provided within the FQHC environment, ensuring compliance with all applicable regulations, and collaborating with multidisciplinary teams to support optimal revenue cycle management.**Key Responsibilities:*** Perform detailed coding of outpatient visits, including but not limited to primary care, behavioral health, dental, and preventive services, in accordance with FQHC guidelines.* Ensure proper coding and billing for Medicare, Medicaid, and commercial insurance payers, adhering to federal, state, and payer-specific regulations.* Review clinical documentation to verify accuracy and ensure appropriate coding is used.* Serve as a coding resource for team members, providing mentorship and training as needed.* Review and resolve coding discrepancies, audits, and billing issues promptly.* Collaborate with clinical and administrative staff to ensure accurate and timely claims submission.* Participate in internal and external audits, assisting in chart reviews and responses to coding-related queries.* Maintain up-to-date knowledge of coding updates, payer policies, and FQHC-specific regulations.* Assist in the development and implementation of coding policies, procedures, and educational resources.* Support the improvement of revenue cycle processes and workflows to maximize reimbursement and minimize errors.* Required Certifications: AAPC (CPC, CPC-H, or CPC-P) or RHIT (Registered Health Information Technician) certification.* Experience: Minimum of 5 years of professional coding experience, with at least 3 years in an FQHC setting.* Extensive experience with ICD-10-CM, CPT, HCPCS Level II, and Medicare/Medicaid coding guidelines.* Strong understanding of FQHC-specific reimbursement models, including PPS (Prospective Payment System), RHC (Rural Health Clinics), and billing procedures.* Proficient in using electronic health record (EHR) systems, coding software, and practice management systems.* Knowledge of compliance regulations related to FQHCs and the healthcare industry.* Strong attention to detail, analytical skills, and the ability to manage complex coding issues.**Health Coverage*** Medical, Dental, and Vision Insurance* Secondary Gap Insurance* Prescription Drug Plan* Supplemental Policies through Colonial Life**Financial Security*** 401(k) Retirement Plan with up to 3% Company Match* Employer-Sponsored Short-Term Disability* Employer-Paid Life and AD&D Insurance**Work-Life Balance*** Paid Time Off (PTO) accrued beginning Day 1* Self-Care Floating Holidays* 9.5 Paid Holidays**Additional Support*** Employee Assistance Program (EAP)* Public Service Loan Forgiveness (PSLF) eligibilityWe are committed to supporting your well-being - at work and beyond.## QualificationsQualifications:* Required Certifications: AAPC (CPC, CPC-H, or CPC-P) or RHIT (Registered Health Information Technician) certification.* Experience: Minimum of 5 years of professional coding experience, with at least 3 years in an FQHC setting.* Extensive experience with ICD-10-CM, CPT, HCPCS Level II, and Medicare/Medicaid coding guidelines.* Strong understanding of FQHC-specific reimbursement models, including PPS (Prospective Payment System), RHC (Rural Health Clinics), and billing procedures.* Proficient in using electronic health record (EHR) systems, coding software, and practice management systems.* Knowledge of compliance regulations related to FQHCs and the healthcare industry.* Strong attention to detail, analytical skills, and the ability to manage complex coding issues.Preferred Skills:* Experience with EHR systems such as EPIC, Athena Health, or Centricity.* Strong communication skills with the ability to work collaboratively across departments.* Ability to mentor and train junior coders and provide guidance on coding best practices.Additional Requirements:* Ability to maintain confidentiality and adhere to HIPAA regulations.* Strong organizational skills and the ability to prioritize tasks in a fast-paced environment.* Demonstrated commitment to continuous learning and professional development in coding and healthcare regulations.
  • J-18808-Ljbffr Cahealthnet

Vacancy posted 18 hours ago
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