Hybrid Coding & Compliance Analyst — FQHC Billing

Family Health Center Of M; Chippewa Falls (WI); Hybrid; USD 39,000 - 55,000; Full time

Job summary

Family Health Center Of M in Wisconsin is hiring a Coding and Compliance Analyst in a hybrid role with required travel. The analyst will ensure accurate coding, maintain billing compliance, and support revenue cycle initiatives across service lines.

Responsibilities include auditing codes, CPT/ICD-10 reviews, updating policies, and training staff. Collaboration with providers and billing teams is essential to achieve compliant documentation and optimized reimbursement.

Qualifications

• 3–5 years of experience in medical billing, coding, and/or compliance in a healthcare setting.
• Proficiency with EHR and practice management systems (Epic, NextGen, eCW).
• Associate’s or degree in Health Information Management, Healthcare Administration, or related field preferred.

Responsibilities

• Review provider documentation, charges, and codes per payer and CMS guidelines.
• Audit coding, billing, and claims for accuracy and compliance.
• Identify denials trends and recommend corrective actions and follow-up audits.
• Develop, update, and maintain coding and billing compliance policies and training materials.
• Collaborate with providers, clinical teams, and billing staff to ensure compliant coding and documentation.
• Analyze denied or underpaid claims to identify root causes and drive improvements.
• Monitor payer updates and communicate changes to affected departments.
• Ensure compliance with FQHC PPS and encounter-based billing guidelines.
• Conduct regular staff training on documentation, coding updates, and best practices.
• Prepare audit reports and present findings to leadership.

Skills

Medical billing

Coding

Compliance

Education

Health Information Management degree

Tools

Epic Systems

NextGen Healthcare

eClinicalWorks

Job description

Family Health Center Of M in Wisconsin is hiring a Coding and Compliance Analyst in a hybrid role with required travel. The analyst will ensure accurate coding, maintain billing compliance, and support revenue cycle initiatives across service lines.

Responsibilities include auditing codes, CPT/ICD-10 reviews, updating policies, and training staff. Collaboration with providers and billing teams is essential to achieve compliant documentation and optimized reimbursement.