Maple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving community health by providing comprehensive healthcare accessible to all.

The Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical, dental, and behavioral health services, complying with federal, state, payer, and HRSA/FQHC requirements. This supports timely billing, reimbursement optimization, and audit readiness.

Responsibilities include:

Reviewing provider documentation for accuracy and completeness
Assigning appropriate codes for primary care, behavioral health, and dental services
Ensuring coding supports medical necessity and payer requirements
Applying correct modifiers, place of service codes, and diagnosis sequencing
Identifying documentation gaps and communicating with providers
Maintaining compliance with CMS, Medicare, Medicaid, commercial payer rules, HRSA and FQHC billing requirements
Preventing fraud, waste, and abuse
Assisting with claim edits, denials, and coding appeals
Participating in coding audits and corrective actions
Staying current with coding updates and regulations
Supporting productivity and quality benchmarks
Maintaining HIPAA confidentiality and compliance

Requirements:

High school diploma or equivalent (associate degree preferred)
Minimum 1 year medical coding experience, preferably in primary care or multi-specialty environments
Strong knowledge of ICD-10-CM, CPT, HCPCS Level II
Experience with EMR systems
Understanding Medicare and Medicaid billing rules
Strong organizational skills and attention to detail
Proficiency with Microsoft Office and other EMR software
Self-motivated with critical thinking and multitasking skills
Bilingual (English/Spanish) preferred but not required
Effective interpersonal skills

Preferred Certifications:

CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
CCS-P (Physician-based)

Skills and Competencies:

Interpretation of clinical documentation
Strong written and verbal communication
Ability to work independently and meet deadlines
Commitment to compliance and ethical standards

Physical Requirements:

Prolonged sitting and computer use
Ability to lift up to 15 pounds
Reasonable accommodations available

Benefits:

Competitive salary and benefits package including retirement plan, health insurance, childcare reimbursement
Opportunities for professional development and growth
Supportive and inclusive workplace culture
Opportunity to impact healthcare experience in the community

To apply, submit resume and cover letter highlighting your experience.

Maple City Health Care Center is an equal opportunity employer committed to diversity and inclusion.