Medical Billing Coding Associate

Job Summary 

The Medical Billing Coding Associate is responsible for accurately coding medical services and diagnoses within the Electronic Health Record (EHR) and practice management systems.  This role ensures that insurance claims are prepared, reviewed, and submitted in a timely and compliant manner to support accurate reimbursement and regulatory compliance. 

Qualifications / Requirements 

• Certified Professional Coder (CPC) required 

• 2–3 years of experience with CPT, HCPCS, ICD-10, and HCC coding 

• Proficiency in medical terminology, anatomy, and physiology 

• Preferred experience with FQHC billing guidelines 

• Experience in claims processing  

• Strong attention to detail and analytical skills 

• Prior experience providing education and training to healthcare providers 

• Coding audit experience preferred 

Essential Functions 

• Accurately code and review charges within the Electronic Medical Record (EMR) system 

• Resolve coding, EMR, insurance, and clearinghouse errors, including rejections and denials 

• Collaborate with Accounts Receivable (AR) specialists to address coding-related denials 

• Conduct medical record audits to ensure coding accuracy and compliance with regulatory requirements 

• Through Revenue Cycle Management (RCM), support the Chief Medical Officer (CMO), Quality, and Compliance teams with coding guidance and action plans 

• Maintain compliance with HIPAA, Medicare, Medicaid, and other billing regulatory requirements 

• Assist in the development and improvement of coding-related policies, processes, and procedures 

• Identify and report coding trends to the Revenue Cycle Manager 

• Provide coding updates and education to billing, providers and clinical staff 

• Maintain strict confidentiality of all medical, financial, and sensitive information 

• Adhere to all HIPAA laws and privacy standards 

• Perform other duties as assigned 

Physical Requirements 

• While performing the duties of this job, the employee is regularly required to talk and hear 

• This position is very active and requires standing, walking, bending, kneeling and stooping all day, but may also involve long periods of sitting or computer-based work 

• This employee may frequently lift and/or move items over 30 pounds 

• Must be able to lift, carry and handle equipment, supplies and other work site materials according to position requirements