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MEDICAL CODER

Job in Pleasanton, Alameda County, California, 94566, USA
Listing for: Axis Community Health
Full Time position
Listed on 2025-12-02
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 30 - 40 USD Hourly USD 30.00 40.00 HOUR
Job Description & How to Apply Below

Join to apply for the MEDICAL CODER role at Axis Community Health

Axis Community Health provided pay range

This range is provided by Axis Community Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$30.00/hr - $40.00/hr

Company Description

Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission is to provide quality, affordable, accessible, and compassionate health care services that promote the well-being of all members of the community. We deliver primary healthcare, mental health support, and dental services, ensuring access for every member regardless of financial status, living situation, or insurance coverage.

Job Summary

The Medical Coder reviews, codes, and processes medical, dental, and behavioral health encounters to ensure accurate and compliant documentation, coding, and billing for a Federally Qualified Health Center (FQHC). Responsibilities include assigning ICD‑10, CPT, and HCPCS Level II codes per federal, state, and payer guidelines, resolving denials, supporting reimbursement, and maintaining compliance with Medi‑Cal, Medicare, HRSA, and commercial insurance requirements. The role also involves staff training, process improvements, and collaboration across billing, compliance, and clinical teams.

Qualifications
  • High school diploma or equivalent;
    Associate’s degree in Health Information Technology or related field preferred.
  • Minimum two years of outpatient medical coding experience, preferably in a community health center or FQHC.
  • Current coding certification (CPC, CCA, CCS, RHIT, RHIA).
  • Strong knowledge of ICD‑10, CPT, HCPCS Level II, and outpatient coding guidelines.
  • Familiarity with FQHC specific coding and billing, including PPS and wrap/PPS add‑on.
  • Proficiency reviewing clinical documentation for accuracy and completeness.
  • Ability to analyze and resolve coding‑related denials.
  • Advanced knowledge of FQHC coding standards and HRSA/UDS reporting.
  • Experience with specialty billing for chiropractic, acupuncture, podiatry, cardiology, etc.
  • Knowledge of outside entity account reconciliation.
  • Proficiency in EPIC EPM/EHR preferred; wisdom dental software knowledge a plus.
  • Excellent time‑management, analytical, interpersonal, and communication skills.
  • Strong writing, editing, proofreading abilities.
  • Professional demeanor, high confidentiality, positive representation.
  • Adaptable, proactive, detail‑oriented self‑starter capable of independent and team work.
  • Typing ≥35 WPM with minimal errors.
  • Good computer skills using Microsoft Office and Axis departmental systems.
  • Must be able to use office equipment (copier, fax, etc.).
Essential Duties/Responsibilities
  • Review and assign accurate ICD‑10, CPT, and HCPCS codes for all encounters.
  • Ensure compliance with all billing guidelines and FQHC specifications.
  • Verify provider documentation and request clarifications when needed.
  • Review and correct encounter data before claim submission.
  • Collaborate with providers to improve documentation accuracy.
  • Analyze and resolve coding‑related denials; submit corrected claims.
  • Support billing team with research on payer guidelines and policy updates.
  • Maintain proficiency in UDS reporting and quality metrics coding.
  • Collaborate with senior management on HRSA, PPS, and documentation standards.
  • Conduct internal chart audits and identify training needs.
  • Assist in training staff on coding updates and best practices.
  • Stay current on coding regulations, payer updates, E/M guidelines, and FQHC requirements.
  • Collaborate with CFO and Billing Manager to improve workflows and efficiency.
  • Participate in staff meetings, other meetings, and training events.
  • Perform other related duties and special projects as assigned.
Benefits
  • Employer‑paid health, dental, and vision benefits.
  • Option to participate in a 403(B) retirement plan with employer matching.
  • Partial educational reimbursement.
  • 12 paid holidays.
  • Accrued paid time off with each pay period.
  • Employee discount programs.
Physical, Cognitive, and Environmental Working Conditions

Work is normally performed in a…

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