Coder

Family Healthcare; St. George (VT); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

HSA partnership

Paid time off

Tuition reimbursement

401(k) matching

Profit sharing

Employee assistance program

Apprenticeship program for Medical Ass

Job summary

Family Healthcare is seeking a Medical Coder to review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes for services across all clinic sites. You will ensure coding accuracy and regulatory compliance while supporting timely claim submission within eClinicalWorks.

The role emphasizes minimizing denials, protecting revenue integrity, and supporting FQHC reporting obligations including UDS and Section 330 requirements.

Qualifications

• Requires high school diploma; an Associate degree in Health Information Management or related field preferred.
• Active medical coding certification (CPC, CCS, or equivalent) is required.
• Minimum 2 years of professional medical coding experience in a primary care, multi-specialty, or FQHC setting.
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Experience with electronic health record and practice management systems (eCW strongly preferred).
• Understanding payer billing requirements (Medicare, Medicaid, commercial).

Responsibilities

• Review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with regulations.
• Support timely, clean claim submission within eClinicalWorks.
• Assist in minimizing denials and protecting revenue integrity.
• Support organization’s FQHC compliance and reporting (UDS and Section 330).

Skills

Analytical skills

Communication

Independent work

Microsoft Office

Education

High school diploma

Associate degree in Health Information Management

Tools

eClinicalWorks

TriZetto clearinghouse

Job description

Summary

The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites. This role ensures coding accuracy, compliance with federal and payer-specific regulations, and supports timely, clean claim submission within eClinicalWorks (eCW). The Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization’s FQHC compliance and reporting requirements (including UDS and Section 330 obligations).

Required Vaccines and Test

Influenza, Tdap, Hep B, MMR, Varicella, TB test, and Negative Drug Test results. Additional vaccines may be required.

Essential Duties and Responsibilities

• Strong analytical and problem‑solving skills
• Excellent written and verbal communication for provider queries
• Ability to work independently and manage a high‑volume caseload with accuracy
• Proficiency with Microsoft Office (Excel for tracking/reporting)
• High degree of integrity given access to sensitive patient and financial data

Physical Demands

The position is primarily sedentary work involving extended computer use. Duties are generally performed in an office environment where hazards and discomforts are controlled and modifiable. Must be able to stand, bend at the waist, kneel, reach over the head, talk, hear, and see. Must be able to move or lift documents and materials weighing up to 30 pounds. Requires frequent contact with fellow employees, patients, and community. May require travel to other sites for work assignments, meetings, or training.

Benefits

• Medical, Dental, Vision (Medical premiums partially paid by Family Healthcare)
• Health Equity HSA partnership
• Paid Time Off, Paid Holidays (13 including a floating holiday)
• Gym Membership Discount
• 401(k) available on the 1st day of hire; Family Healthcare matches dollar for dollar up to 3% and 0.50 cents on the dollar for the next 2% up to 5% of yearly earnings
• Profit Sharing: up to 5% of yearly earnings after 6 months
• Employee Assistance Program for counseling
• Medical Assistant Apprenticeship Program
• Tuition Reimbursement Program for Bachelor’s degree seekers

Qualifications (Education/Experience)

• High school diploma or equivalent required; Associate’s degree in Health Information Management or related field preferred
• Active medical coding certification required: CPC (AAPC), CCS (AHIMA), or equivalent
• Minimum 2 years of professional medical coding experience, preferably in a primary care, multi‑specialty, or FQHC/community health center setting
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Experience with electronic health record and practice management systems (eClinicalWorks strongly preferred)
• Understanding of payer billing requirements, including Medicare, Medicaid, and commercial insurance
• Strong attention to detail and ability to interpret clinical documentation accurately

Preferred Qualifications

• Experience coding within an FQHC or Rule of Threes/PPS encounter environment
• Familiarity with 340B program documentation requirements
• Experience with TriZetto clearinghouse or similar claims clearinghouse platforms
• Knowledge of behavioral health and/or dental coding a plus