Coding Compliance Specialist

Family Care Network; Bellingham (WA); On-site; USD 54,000 - 74,000; Full time

Benefits offered by this job

Health benefits options

Employer‑paid 401(k) match plan

Paid time off (PTO) & sick leave

Flexible Spending Account (FSA)

Job summary

Family Care Network is seeking a Coding Compliance Specialist to support coding and documentation requirements for the FCN team in the Meridian Administrative Office, Bellingham, WA. The role focuses on monitoring coding reviews, answering questions, and performing internal chart audits to ensure accurate billing.

Key duties include researching coding errors, identifying trends, and assisting in training plans for providers and staff.

Qualifications

• Proven experience with healthcare coding and billing processes.
• Deep working knowledge of diagnosis and procedural coding.
• Ability to work independently with minimum supervision.
• AAPC or AHIMA coding certification or comparable job-related experience.
• Proven experience keyboarding and data entry accurately.
• Attention to detail and accuracy.
• Knowledge of health information systems and MS Excel.

Responsibilities

• Process billings in accordance with insurance carrier requirements.
• Monitor coding review desk and answer coding questions from physicians, APPs, managers, and billing staff.
• Conduct chart audits for documentation changes to support coding and provide feedback to improve accuracy.

Skills

Healthcare coding

Billing processes

Attention to detail

HIPAA compliance

Communication skills

Education

AAPC or AHIMA Coding Certification

High School Diploma

Tools

MS Word

MS Excel

EMR systems

Job description

Job Details

Location: FCN Meridian Administrative Office - Bellingham, WA 98225

Position Type: Full Time

Pay: $25.75 - $35.45 per hour

Shift: Monday - Friday, 8:00am – 5:00pm (Day)

Job Category: Patient Accounts

Title: Coding Compliance Specialist

Benefits

Health Benefits:

• Three Medical plan options
• Two Dental plans, including orthodontia for children and adults
• Employer‑paid Vision coverage for employee and family
• Expanded Employee Assistance Program (EAP) and mental health programs, including wellness and discounted gym memberships
• Flexible Spending Account (FSA), Healthcare and Dependent Care
• Health Savings Account (HSA) with an employer contribution of $1,500 (pro‑rated based on enrollment eligibility)
• Health Reimbursement Account (HRA), up to $1,500 ($3,000 for family coverage)
• Employer‑paid Life/AD&DD insurance with optional supplemental additional coverage including a guaranteed issue amount with no health questionnaire
• Voluntary Accident and Hospital insurance plans with annual wellness benefits

Time Off & Wellness:

• Paid Time Off (PTO), Paid Sick Leave (PSL), and Extended Illness Bank (EIB)
• Full‑time employees begin earning 18 days of PTO, increasing to 33 days over time; unlimited rollover
• PSL accrues at 1 hour per 40 hours worked
• EIB accrues up to 32 hours per year (pro‑rated) for both part‑time and full‑time employees, with a maximum of 480 hours

Retirement:

• 401(k) plan with employer match, both Traditional and Roth options
• 401(k) Profit Sharing Plan
• Free financial planning guidance

Additional Benefits:

• Eligibility for FCN applicable bonuses

Job Summary

The primary function of this position is to support FCN staff and clinicians regarding coding and documentation requirements. Duties include monitoring and responding to coding reviews, and performing internal chart audits.

Essential Job Functions

• Conduct chart audits for possible documentation changes needed to support coding; provide feedback to enhance record accuracy.
• Research coding errors, identify trends, and assist in problem‑solving solutions.
• Monitor coding review desktop and answer coding questions from physicians, advanced practice providers, managers, and billing staff.
• Assist in developing coding and billing training plans for providers and staff.
• Process billings in accordance with insurance carrier requirements.
• Seek assistance as needed and communicate questions in a timely manner to appropriate staff.
• Adhere to assigned work schedule (attendance and punctuality).
• Perform other duties as assigned.

Knowledge, Skills & Abilities

• Proven experience with healthcare coding and billing processes.
• Deep working knowledge of diagnosis and procedural coding.
• Ability to work independently with minimum supervision.
• AAPC or AHIMA coding certification or comparable job‑related experience.
• Proven experience keyboarding and data entry accurately and efficiently.
• Attention to detail and ability to perform detailed work accurately.
• Intermediate computer skills: health information systems, EMR, MS Word & MS Excel.
• Knowledge of claims processing for medical billing. Working knowledge of Form 1500, CPT and ICD codes; calculate accurate payment amounts on insurance. Specialized knowledge of commercial insurance, federal and state billing requirements.
• Demonstrated customer service skills.
• Proven knowledge of a medical office practice and medical terminology.
• Problem‑solving skills: identify and resolve issues and concerns professionally.
• Experience working as part of a team and modeling a positive work ethic and customer‑friendly relations.
• Prioritization and multitasking skills to handle detailed projects with frequent interruptions.
• Ability to establish positive employee relations, including conflict resolution.
• Experience in maintaining confidentiality in compliance with HIPAA and related laws.
• Excellent communication skills – verbal and written, with patients and personnel.

Qualifications

• High School Diploma or equivalent required.
• Medical office experience preferred.
• AAPC or AHIMA Coding Certification required.

Physical Requirements

• Occasional standing, walking, sitting; hand and finger coordination; handling objects; reaching; climbing stairs; balancing; stooping, kneeling, crouching; talking or hearing.
• Occasional lifting or moving up to 30 pounds.
• Vision: close vision, peripheral vision, depth perception and ability to adjust and focus.

Immunization Requirements

Employees must meet immunization standards in accordance with federal, state, and organizational guidelines, with an exemption process for medical or religious reasons.

Family Care Network is a Drug‑Free, Equal Opportunity Employer.