FQHC Medical Coder & Audit Specialist

ADP, Inc.; Avondale (LA); On-site; USD 60,000 - 90,000; Full time

Job summary

ADP, Inc. is seeking a Medical Coder to provide coding, audit, and compliance support for clinical services in Avondale, LA. You will ensure accurate CPT/HCPCS/ICD-10-CM coding and assist with payer policy adherence.

The role requires the AAPC coding certification and at least three years of experience, with familiarity in FQHC settings and Athena EHR. You will collaborate with billing staff and providers to reduce denials and improve reimbursement.

Qualifications

• AAPC Coding Certification required.
• Minimum of three years of professional medical coding experience.
• Experience in FQHC or community health center setting recommended.
• Annual training on FQHC coding, payer policy updates, and regulatory compliance required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS and FQHC billing guidelines.
• Proficiency with Athena and Microsoft Office applications.

Responsibilities

• Conduct routine provider coding audits to ensure compliance with payer policies.
• Analyze audit findings and present corrective actions to providers.
• Serve as liaison to providers on coding updates and documentation standards.
• Review coding-related denials to identify trends and preventive strategies.
• Collaborate with Billing to address coding risks and documentation gaps.
• Ensure proper use of CPT, HCPCS, ICD-10-CM, and FQHC codes.
• Prepare compliance, audit, and denial trend reports for leadership.
• Travel to InclusivCare locations as needed for onsite audits.

Skills

Medical coding

Audit & compliance

Regulatory knowledge

Provider education

Education

AAPC Coding Certification

3 years professional medical coding experience

Tools

Athena EHR

Microsoft Excel

Microsoft Word

Job description

ADP, Inc. is seeking a Medical Coder to provide coding, audit, and compliance support for clinical services in Avondale, LA. You will ensure accurate CPT/HCPCS/ICD-10-CM coding and assist with payer policy adherence.

The role requires the AAPC coding certification and at least three years of experience, with familiarity in FQHC settings and Athena EHR. You will collaborate with billing staff and providers to reduce denials and improve reimbursement.