Medical Coder & Compliance Auditor

JCHCC DBA Inclusivcare; Pennsylvania; On-site; USD 60,000 - 80,000; Full time

Job summary

JCHCC DBA Inclusivcare is seeking a Medical Coder to provide coding, audit, and compliance support for all clinical services. This role ensures accurate code assignment and supports risk mitigation through provider education and ongoing audits.

Requirements include AAPC Coding Certification and at least three years of professional medical coding experience, with familiarity in FQHC billing and Athena. Some travel may be required.

Qualifications

• AAPC Coding Certification is required.
• Minimum of three years of professional medical coding experience.
• Experience in a Federally Qualified Health Center or community health center is recommended.
• Proficiency with Athena and practice management systems.

Responsibilities

• Conduct provider coding audits to ensure compliance with FQHC, Medicare, Medicaid, and payer policies.
• Analyze audit findings and provide corrective action recommendations to providers.
• Present coding updates and regulatory changes to physician groups.
• Review denials to identify trends and systemic risks; recommend preventive strategies.
• Collaborate with Billing to address documentation gaps and reimbursement risks.
• Ensure correct CPT, HCPCS, ICD-10-CM coding per guidance and payer policies.
• Prepare audit and denial trend reports for Revenue Cycle Manager and leadership.
• Travel to InclusivCare locations to support onsite audits and education.
• Maintain HIPAA compliance and ensure patient health information safeguards.

Skills

Communication skills

Analytical thinking

Attention to detail

Problem solving

Education

AAPC Coding Certification

Tools

Athena EHR

Excel

Word

Practice management systems

Job description

JCHCC DBA Inclusivcare is seeking a Medical Coder to provide coding, audit, and compliance support for all clinical services. This role ensures accurate code assignment and supports risk mitigation through provider education and ongoing audits.

Requirements include AAPC Coding Certification and at least three years of professional medical coding experience, with familiarity in FQHC billing and Athena. Some travel may be required.