Job Description

Essential Duties and Job Functions:

• Accurately code medical procedures and diagnoses.
• Review clinical documentation and records to ensure the correct codes are applied.
• Ensure codes are assigned following industry regulations and guidelines.
• Prepare and submit claims to insurance companies and other payers.
• Monitor and follow up on unpaid claims, rejections, and denials to ensure timely reimbursement.
• Resolve billing issues and discrepancies with insurance companies and patients.
• Participate in audits and reviews to maintain coding accuracy and compliance.
• Other duties as assigned.

Education/Experience:

• Certification as a Professional Coder (CPC) through AAPC or AHIMA, is required.
• Minimum of 2 years of experience in medical billing and coding, preferably in an FQHC establishment.
• Proficiency in coding systems
• Knowledge of medical terminology, anatomy, and physiology.
• Experience with NextGen and billing software.
• Strong attention to detail and accuracy.
• Excellent communication and organizational skills.
• Ability to work independently and as part of a team.
• Familiarity with billing and coding for medical services is preferred.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) ONE Health Ohio

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