Certified Medical Coder

Join to apply for the Certified Medical Coder role at Roots Community Health

The Certified Medical Coder represents Roots Community Health Center, supporting the Director of Billing and the Billing and Coding Administrator. This position collaborates with providers, billing specialists and the finance team to perform efficient medical coding, audit billing providers, interpret patient records, and recommend accurate codes to ensure a smooth billing process. This is a 6-month temporary position.

Duties and Responsibilities

• Code office visits and procedures using CPT and ICD-10 codes.
• Audit and review physician notes in the EHR for coding accuracy.
• Make coding recommendations and work with providers to ensure compliance with payer guidelines.
• Educate providers on coding policies, medical necessity criteria, and correct billing methods.
• Resolve billing practices and communicate with providers regarding coding issues.
• Audit documentation to support compliant billing with CMS and payer requirements.
• Assist physicians and managers with coding errors, denials, and billing issues.
• Monitor charge review queues to ensure proper billing flow.
• Submit all charges into the AdvancedMD billing EHR system for claims processing.
• Act as liaison between the billing department and clinic management / physicians.
• Translate policy interpretation into CPT, HCPC, and ICD-10 codes for system input.
• Ensure compliance with regulations and payer billing guidelines.
• Identify and manage billing and reimbursement projects as they arise.
• Research denied claims and take steps toward resolution.
• Correct coding errors in coordination with the billing specialist.
• Review insurance plans and carrier information for appropriate coding regulations per payer contracted services.
• Verify insurance information and PCP assignment.
• Maintain the accuracy of patient demographics and insurance information in the EHR.
• Report trends and denial patterns to the Director of Billing.
• Participate in internal chart audits, billing audits, and other compliance programs.
• Make recommendations for policies and procedures related to payer billing guidelines.
• Attend billing and interdepartmental meetings.

Requirements

Roots Community Health Center is proud to be an Equal Employment Opportunity / Affirmative Action Employer and values diversity of culture, thought and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership / veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E Verify to validate the eligibility of our new employees to work legally in the United States.

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