Medical Coder - FQHC Billing & Compliance | PTO & 403(b)

Start Corporation; Houma (LA); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

Paid time off

13 paid holidays

403(b) retirement plan with employer匹

Job summary

Start Corporation in Louisiana seeks an experienced Medical Coder to join our nonprofit team dedicated to improving community health services. You will review records, assign ICD-10-CM, CPT, and HCPCS codes, and ensure proper coding reflects clinical documentation and payer requirements.

The role involves coordinating with providers and the Revenue Cycle team to resolve discrepancies, ensure medical necessity, and maintain compliance with CMS and state guidelines.

Qualifications

• High school diploma or equivalent required.
• 2–3 years of professional medical coding experience preferred.
• Accredited medical coding or medical billing and coding program preferred.
• Knowledge of ICD-10-CM, CPT, HCPCS, E/M coding, Medicare and Medicaid coding requirements, and medical necessity.
• Knowledge of medical terminology, anatomy, and healthcare documentation.
• Experience with electronic health records and healthcare billing systems preferred.
• Experience reviewing provider documentation and resolving coding discrepancies.

Responsibilities

• Review medical records and assign ICD-10-CM, CPT, and HCPCS codes based on documentation and services provided.
• Review and validate E/M coding and appropriate levels of service.
• Ensure coding accurately reflects diagnoses, conditions addressed, procedures performed, and services documented.
• Identify incomplete or conflicting documentation and request clarification from providers.
• Review documentation for medical necessity and linkage between diagnoses and services.
• Apply CMS, Louisiana Medicaid, NCCI, and payer-specific coding guidelines.
• Maintain knowledge of annual and interim coding updates.
• Apply FQHC-specific billing and coding requirements; review claims for PPS reimbursement.
• Understand Medicare, Louisiana Medicaid, Medicaid Managed Care, and commercial payer requirements.
• Identify services that are separately billable, bundled, incidental, or included in FQHC payments.
• Maintain familiarity with coding requirements for primary care, preventive care, behavioral health, psychiatry, substance use disorder treatment, and other START Corporation services.
• Perform pre-bill and post-bill coding reviews; review claim edits, denials, and rejections; assist with appeals.
• Identify opportunities to improve clean-claim rates and reduce denials; collaborate with Billing, Revenue Cycle, HIM, Compliance, and providers.

Skills

Medical coding

ICD-10-CM

CPT

HCPCS

E/M coding

Medicare/Medicaid

Medical terminology

Anatomy

EHR systems

Billing systems

Documentation review

Payer policies

Communication with providers

Attention to detail

Confidentiality

Productivity

Education

Medical coding program

Job description

Start Corporation in Louisiana seeks an experienced Medical Coder to join our nonprofit team dedicated to improving community health services. You will review records, assign ICD-10-CM, CPT, and HCPCS codes, and ensure proper coding reflects clinical documentation and payer requirements.

The role involves coordinating with providers and the Revenue Cycle team to resolve discrepancies, ensure medical necessity, and maintain compliance with CMS and state guidelines.