HCC Coder - Medical Records Coding

Job Description Job Summary Maple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving our community’s health by making quality comprehensive healthcare accessible to all. We strive for a healthy community where everyone is cared for.

Essential Duties and Responsibilities Review provider documentation to ensure completeness, accuracy, and compliance with coding guidelines.

Assign appropriate ICD-10-CM, CPT, and HCPCS codes for: Primary care services

Behavioral health services

Dental services (as applicable)

Ensure coding supports medical necessity, scope of practice, and payer requirements

Apply correct modifiers, place of service codes, and diagnosis sequencing

Identify documentation deficiencies and communicate clarification needs to providers

Maintain compliance with: CMS, Medicare, Medicaid, and commercial payer rules

HRSA and FQHC billing requirements

OIG compliance and fraud, waste, and abuse prevention

Assist with claim edits, denials, and coding-related appeals

Participate in internal and external coding audits and implement corrective actions

Stay current with coding updates, annual code set changes, and regulatory guidance

Support productivity, accuracy, and quality benchmarks established by MCHCC

Maintain confidentiality and compliance with HIPAA regulations

Required Qualifications High school diploma or equivalent, associate’s degree + preferred

Minimum 1 year of medical coding experience, preferably in: Primary care

multi-specialty environment

Strong working knowledge of: ICD-10-CM

CPT

HCPCS Level II

Experience with electronic medical record (EMR) systems

Understanding of Medicare and Medicaid billing rules

Strong organizational skills with attention to detail

Experienced in Microsoft office and other EMR software

Self-motivated, critical thinking and ability to multitask

Bilingual preferred but not necessary (English/Spanish)

Demonstrates effective interpersonal skills.

Required Certifications (One or More Preferred) CPC (Certified Professional Coder)

CCS (Certified Coding Specialist)

CCS-P (Physician-based)

Skills and Competencies Ability to interpret clinical documentation

Effective written and verbal communication

Ability to work independently and meet deadlines

Commitment to compliance and ethical standards

Physical and Work Requirements Prolonged periods sitting at a desk and working on a computer

Must be able to lift up to 15 pounds at times

Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of this work

We are required by federal law to verify identity and eligibility to work in U.S.

What We Offer Competitive salary and benefits package (Retirement plan, health insurance, childcare reimbursement)

Opportunities for professional development and growth

A supportive and inclusive workplace culture

The chance to make a meaningful impact on the healthcare experience in our community

Equal Opportunity Employer Maple City Health Care Center is an equal opportunity employer, and we are committed to creating a diverse and inclusive culture. We do not discriminate based on sex, race, gender identity, sexual orientation, religion, national origin, age, veteran status, or any other protected status under the law. We celebrate diversity and are committed to creating an inclusive environment for all employees and the patients we serve.

Compliance Statement The Medical Coder must adhere to all MCHCC policies , including compliance, confidentiality, HIPAA, fraud and abuse prevention, and code of conduct standards.

Equal Opportunity Employer Maple City Health Care Center is an equal opportunity employer, and we are committed to creating a diverse and inclusive culture. We do not discriminate on the basis of sex, race, gender identity, sexual orientation, religion, national origin, age, veteran status, or any other protected status under the law. We celebrate diversity and are committed to creating an inclusive environment for all employees and the patients we serve.

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