Third Street Family Health Services · 1 month ago
Billing Coder – FQHC / PPS Specialist [Mansfield, OH]
Mansfield, OH
Full-time
Onsite
Mid LevelThird 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
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.
Competitive Market Value Compensation.
Generous Paid Time Off.
Tuition assistance.
Medical, dental and vision insurance
403(b) retirement plan with match
Employer-paid life insurance
Employer-paid long-term disability
Company
Third Street Family Health Services
Third Street Family Health Services provides Medical, Dental, OB/GYN, Pediatric, and Behavioral Health Services across the eight locations.
Founded in 1994
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Peggy Anderson
Chief Executive Officer
Barbara Sullinger
Chief Financial Officer
Company data provided by crunchbase