Recanto das Massas · 3 days ago
Billing & Coding Analyst
Lincoln Heights, OH
Full-time
Onsite
Entry, Mid Level
2+ years expThe HealthCare Connection is a Federally Qualified Health Center focused on providing quality healthcare services. The Billing & Coding Analyst is responsible for accurate coding, charge review, risk‑adjustment support, and claims coordination within an FQHC environment.
Restaurants
No H1B
Responsibilities
Perform coding review of encounters to ensure accurate CPT, HCPCS, and ICD‑10 coding in compliance with payer and FQHC rules
Ensure accurate capture of risk‑adjusting diagnoses (HCC) and communicate documentation needs to providers
Conduct ongoing coding audits and maintain documentation of findings, trends, and corrective action steps
Collaborate with the third‑party billing company to resolve coding‑related denials, edits, and claim rejections
Assist in monitoring A/R trends, denial rates, and vendor performance metrics
Review charge data for completeness, accuracy, and compliance prior to submission
Support month‑end close activities including coding reconciliation and reporting
Participate in special projects such as workflow redesign, EHR template optimization, payer audits, and regulatory updates
Provide coding and documentation guidance to providers and clinical departments
Develop and host coding and documentation training sessions for providers and clinical staff to improve coding accuracy, documentation quality, risk-adjustment capture, and compliance
Ensure adherence to HRSA, UDS, Medicaid/Medicare, HIPAA, and other regulatory requirements
Qualification
Required
High school diploma required; associate degree in health information, billing, or related field preferred
Certified coder required (CPC, CCS, or equivalent)
Minimum 2 years of medical billing and coding experience; FQHC experience strongly preferred
Knowledge of CPT, HCPCS, ICD‑10, PPS/GFQHC billing rules, Medicaid, Medicare, and commercial payer requirements
Strong communication skills, attention to detail, and ability to collaborate with clinical, administrative, and external teams
Proficiency with EHR and billing software systems
Preferred
Risk‑adjustment coding certification (CRC)
Experience coordinating with external billing vendors
Experience with NextGen and EPIC
Benefits
Health Insurance and Rewards Program
Dental, and Vision Insurance
Free Life & Short-Term Disability Insurance
403(b) Retirement Plan with employer match
Comprehensive Paid Time Off (PTO)
10 Paid Holidays
Company
Recanto das Massas
Somos um restaurante de massas em Vila Real onde tu és o chef! Desde 2017, damos-te a liberdade de criar e personalizar o teu prato, escolhendo os ingredientes que mais gostas.
Founded in 2017Vila Real, Vila Real, PT
2-10 employeesFunding
Current Stage
Early StageCompany data provided by crunchbase