Coder/Biller

Job Summary

The Coder/Biller is responsible for reviewing patient accounts, billing documentation, and claim information to ensure accurate charge entry, claim processing, and timely reimbursement. This role supports the revenue cycle by verifying billing information, correcting claim issues, resolving billing discrepancies, and ensuring compliance with payer guidelines and organizational standards. The Billing Coder works closely with clinical, billing, and insurance teams to support efficient claim resolution and payment processing.

Job Duties

• Review patient billing documentation, claims, and account information for completeness and accuracy
• Ensure timely and accurate charge entry to support the revenue cycle process
• Identify documentation deficiencies and communicate with providers regarding necessary corrections or clarifications
• Monitor coding edits, denials, and rejected claims related to coding or billing issues
• Assist with claim corrections, rebilling, and resubmissions as needed
• Verify insurance coverage, authorization requirements, patient demographics, and billing information
• Maintain knowledge of CMS, Medicare, Medicaid, HRSA, and commercial payer requirements
• Conduct routine coding audits and provide feedback to providers and staff to improve documentation and billing accuracy
• Assist with preparation for internal and external audits
• Participate in coding education and training for clinical and administrative staff
• Communicate with insurance carriers regarding claim status, denials, and reimbursement issues
• Work collaboratively with billing, credentialing, compliance, and clinical departments to resolve billing concerns
• Maintain confidentiality of patient information in compliance with HIPAA regulations
• Support month-end billing processes, reporting, and revenue cycle operational goals
• Stay current with billing regulations, payer updates, and organizational policies
  
  

Qualifications

Education:

• High School Diploma or GED required
• Associate’s degree in Health Information Management, Medical Billing & Coding, or related field preferred.
  
  

Certification

• Required: One of the following
• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• CCA (Certified Coding Associate)
  
  

Experience

• Minimum 1–3 years of healthcare billing or revenue cycle experience.
• Experience with Medicaid, Medicare, and commercial insurance billing preferred.
• Experience in an FQHC, hospital, behavioral health, or clinic setting preferred.
• Knowledge of healthcare billing processes and claim submission workflows.
• Familiarity with insurance verification, denials management, and reimbursement processes.
• Experience using billing software and electronic health record systems such as Epic or Athenahealth preferred.
• Strong attention to detail and organizational skills.
• Ability to analyze billing discrepancies and resolve issues efficiently.
• Effective written and verbal communication skills.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Proficiency in Microsoft Office Suite, including Excel and Outlook.
  
  

SMART GOALS

• Achieve accurate and timely processing of assigned billing accounts within established productivity standards.
• Reduce claim errors and billing discrepancies through thorough account review and follow-up.
• Maintain consistent communication with internal departments and insurance carriers to support timely reimbursement.
  
  

Working Condi0tions And Physical Requirements

• This role is office-based.
• Standard business hours; occasional overtime may be required based on workload.
• Prolonged periods of sitting and working at a computer.
• Frequent use of keyboard and mouse.
• Ability to review detailed electronic documentation for extended period.
  
  

Compensation & Benefits

Salary: $53,040

Comprehensive Benefits Package, Including

• Medical, Dental, and Vision Coverage
• Paid Time Off (PTO) & Holidays
• Professional Development Opportunities
• Employee Assistance Program (EAP)
  
  

Occupational Risk For Exposure To TB

There is an occupational risk for exposure to TB, as this position involves extensive community and patient contact. Employees in this role are required to comply with annual TB testing as part of workplace health and safety protocols. The only acceptable exceptions to this requirement are documented medical contraindications or religious objections. Employees who decline TB testing will be required to wear a mask when deemed necessary.

Friend Health – HRDI is an equal opportunity employer. We consider all applicants for employment without regard to race, religion, color, age, sex, national origin, citizenship, ancestry, marital or parental status, sexual orientation including gender identity, gender expression, military discharge status, physical or mental disability, or any other status or characteristic protected by law. In addition, Friend Health – HRDI provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local laws (including during the application or hiring process). Friend Health - HRDI supports the Pay Transparency Law as an equal opportunity employer.

Join Our Team

Join a mission-driven healthcare organization dedicated to providing quality care to the community. As a Billing Coder, you will play an important role in supporting the financial operations of the organization and ensuring efficient reimbursement processes that contribute to patient care services.