Billing Coder – FQHC / PPS Specialist [Mansfield, OH] jobs in United States
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Third Street Family Health Services · 3 weeks ago

Billing Coder – FQHC / PPS Specialist [Mansfield, OH]

positionUnited States
timeFull-time
remoteRemote
seniorityMid Level

Third Street Family Health Services is a regional not-for-profit community health center providing comprehensive health and wellness care. They are seeking a detail-oriented Billing Coder – FQHC / PPS Specialist to ensure financial stability and compliance in billing processes, particularly focusing on FQHC and PPS billing.

CommunitiesHealth CareHospitalNon ProfitRehabilitation

Responsibilities

Serve as a subject-matter expert for PPS and FQHC billing workflows
Ensure accurate, compliant coding and claim submission
Support denial resolution, rebilling, and staff education
Act as a technical resource to the Billing Manager and billing team
Accurately bill FQHC encounters under the Prospective Payment System (PPS)
Apply correct Medicare FQHC G-codes (G0466–G0470) and Revenue Code 0521
Maintain compliance with HRSA FQHC certification standards, including sliding fee scale and encounter documentation requirements
Serve as a go-to resource for complex billing questions

Qualification

FQHC billing experienceProspective Payment System (PPS)Medicare FQHC G-codesRevenue Code 0521HRSA compliance knowledgeClaim research experienceEHRBilling systemsProblem-solvingDetail-orientedTeam collaboration

Required

High school diploma or GED required
Demonstrated experience billing for an FQHC (required)
Strong working knowledge of: Prospective Payment System (PPS)
Strong working knowledge of: Medicare FQHC G-codes (G0466–G0470)
Strong working knowledge of: Revenue Code 0521
Strong working knowledge of: HRSA compliance requirements for FQHC billing
Experience with claim research, appeals, and payer follow-up
Proficiency with EHR and billing systems, preferably Epic

Benefits

Employee Assistance Program.
Competitive Medical, Dental, and Vision plans.
403(b) retirement plan with match
Employer-paid life insurance
Employer-paid long-term disability
Generous Paid Time Off.
Tuition assistance.

Company

Third Street Family Health Services

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Third Street Family Health Services provides Medical, Dental, OB/GYN, Pediatric, and Behavioral Health Services across the eight locations.
dateFounded in 1994
location
Mansfield, Ohio, USA
people-size51-200 employees
web-link
https://thirdstreetfamily.org/

Funding

Current Stage
Growth Stage

Leadership Team

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Peggy Anderson
Chief Executive Officer
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Barbara Sullinger
Chief Financial Officer
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Company data provided by crunchbase