Certified Coder

Evara Health Opportunity

Join Evara HealthDriven by Purpose, Powered by People.

Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams.

Build a career that goes beyond a jobit changes lives.

About This Role

Medical Coding & Charge Review

• Review and validate diagnosis and procedure codes to ensure accuracy, compliance, and appropriate reimbursement.
• Audit patient encounters across departments for completeness and coding accuracy before claims submission.
• Verify ICD, CPT, and HCPCS code assignments using coding guidelines, reference materials, and industry best practices.
• Review provider documentation and clinical records to ensure coding supports services rendered and quality measures.

Claims Processing & Revenue Integrity

• Post claims from the Electronic Health Record (EHR) and correct coding discrepancies as needed.
• Research, correct, and rebill rejected or unbilled charges to support timely reimbursement.
• Utilize payer guidelines and reimbursement knowledge to maximize claim accuracy and revenue capture.
• Ensure authorizations, modifiers, units, and specialty billing requirements are coded correctly.

Provider & Team Collaboration

• Partner with providers, nurses, and health center staff to clarify documentation and coding questions.
• Request and obtain missing information necessary to complete the billing process.
• Serve as a coding resource and provide guidance on coding standards and best practices.

Quality Assurance & Compliance

• Monitor coding quality and report questionable coding practices or charge entries to leadership.
• Maintain current knowledge of coding regulations, payer requirements, and industry updates.
• Meet established daily, weekly, and monthly productivity and accuracy standards.

Education & Experience:

• High School diploma or GED and completion of a medical coding program
• 1-3 years' experience in medical coding or billing field preferred
• Proficient in medical terminology
• Third party payer knowledge gained through experience or education required
• Working knowledge of medical billing systems like Medicare, Medicaid, EMR, etc.

Licenses, Certification or Registration:

• Certified Professional Coder with AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association)

Why You'll Love Working Here:

• Impact: Every day, you'll make a significant impact on our patients' lives, leading efforts that go beyond healthcare to ensure community wellbeing.
• Growth: We support your professional development through continuous learning and opportunities to grow within Evara Health.
• Recognition: As part of our team, your hard work will be recognized and rewarded, contributing to your professional fulfillment and job satisfaction.

Culture and Benefits:

What sets Evara Health apart is our amazing culture and team spirit. We've set record engagement scores this year, creating an environment where our staff thrives and feels truly valued. We are able to do this through our team-based approach to work, but also in our unique benefit offerings such as:

• Generous Time Off: 15 days of paid time off with an option to cash out unused day
• Holidays: 10 paid holidays and an additional day off for your birthday.
• Wellness Perks: Enjoy a free gym membership to support your health and fitness goals.
• Retirement Planning: 403(b) with 2% employer contribution up to 4 % match
• Continuing Education: Tuition reimbursement eligibility which includes $1,500 per year.
• Comprehensive Insurance Plans: Medical, Dental, Vision, Life, Short & Long-Term Disability + extra coverage options.
• Employee Assistance Program (EAP): Confidential counseling, legal & financial advice through EAP

At Evara Health, your career goes beyond a job. Thrive, grow, and help deliver life-changing care to the people who need it most.