Medical Coder

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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, with a mission to deliver quality, affordable, and compassionate care. Our services include primary healthcare, mental health support, and dental services, ensuring access for every community member regardless of financial status or insurance.

The Medical Coder is responsible for reviewing, coding, and processing medical, dental, and behavioral health encounters to ensure accurate and compliant documentation. This includes assigning ICD‑10, CPT, and HCPCS Level II codes according to federal, state, and payer‑specific guidelines, including FQHC billing rules. The coder resolves coding‑related denials, supports timely reimbursement, maintains compliance with Medi‑Cal, Medicare, HRSA, and commercial insurance, and may assist with staff training, process improvements, and cross‑functional collaboration to strengthen revenue cycle operations.

• High school diploma or equivalent;
  Associate degree in Health Information Technology or related field preferred.
• Minimum two years of outpatient medical coding experience, preferably in a community health center, FQHC, or similar ambulatory setting.
• Current coding certification: CPC, CCA, CCS, RHIT, or RHIA.
• Strong knowledge of ICD‑10, CPT, HCPCS Level II, and outpatient coding guidelines.
• Familiarity with FQHC‑specific coding and billing, including PPS, wrap/PPS add‑on, and documentation requirements.
• Proficiency in reviewing clinical documentation for accuracy and completeness.
• Ability to analyze and resolve coding‑related denials.
• Advanced knowledge of FQHC coding standards, encounter‑based reimbursement models, and HRSA/UDS reporting requirements.
• Experience processing specialty billing for chiropractic, acupuncture, podiatry, cardiology, and others.
• Knowledge of outside‑entity account reconciliation.
• Ability to retrieve patient information, input information, and locate resources.
• Knowledge of EPIC EPM/EHR highly desirable.
• Wisdom dental software knowledge is a plus.
• Excellent time management to meet goals and maintain punctuality.
• Strong analytical, employee relations, and interpersonal skills.
• Excellent writing, communication, editing, and proofreading abilities.
• Professional, supportive interaction with diverse individuals.
• Proactive, self‑motivated, able to work independently or in a team, exercising sound judgment.
• Maintain confidentiality and a professional demeanor, positively representing the organization.
• Adjust priorities quickly as circumstances dictate.
• Dynamic self‑starter with demonstrated independent or group work.
• Can‑do attitude, attention to detail, organizational skills, and multitasking.
• Typing speed of at least 35 WPM with minimal errors.
• Proficient Microsoft Office and ability to use Axis departmental systems.
• Comfortable using office equipment (copier, fax, etc.).

• Review and assign accurate ICD‑10, CPT, and HCPCS codes for medical, dental, and behavioral health encounters.
• Ensure coding complies with federal, state, Medicaid/Medi‑Cal, Medicare, commercial payer, and FQHC‑specific billing guidelines.
• Verify provider documentation supports billed codes and request clarifications as needed.
• Review and correct encounter data before claim submission to reduce errors and delays.
• Work closely with providers to improve documentation accuracy and coding completeness.
• Analyze and resolve coding‑related denials and rejections; submit corrected claims as necessary.
• Support the billing team with research on payer guidelines and policy updates.
• Maintain proficiency in UDS reporting requirements and ensure accurate coding for quality metrics.
• Collaborate with senior management to ensure adherence to HRSA, PPS, and documentation standards.
• Conduct internal chart audits to verify coding accuracy and identify training needs.
• Assist in training clinical and billing staff on coding updates, documentation requirements, and best practices.
• Stay current on changes in coding regulations,…