The Billing Medical Coder is responsible for day-to-day coding and billing operations for services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care, and private insurances.

Starting Bonus: $5,000

Location: Midtown - Sacramento, CA (95811)

This role allows a hybrid schedule with 1-2 days per week on site.

Training period: 4–6 weeks onsite, 5 days per week.

Essential Functions:

Review and adjudicate coding of services from documentation timely.
Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes.
Ensure accurate and ethical coding of diagnosis ICD10 and procedure CPT, HCPCS codes for optimized reimbursement.
Assign Evaluation and Management codes based on patient note documentation.
Research and identify correct codes for routine, new, or unusual diagnoses and procedures.
Identify procedures requiring modifiers (including 340B) for billing and reporting.
Query providers for clarifications when documentation is conflicting or incomplete.
Track cases with insufficient documentation to ensure appropriate coding and billing.
Ensure compliance with Federal, State, County, and payer regulations and guidelines.
Maintain up-to-date knowledge of guidelines, policies, and regulatory updates (CMS, HIPAA).
Participate in internal audits, compliance initiatives, and continuing education.
Assist with claims submission and respond to coding-related denials and audits.
Meet or exceed coding productivity and accuracy standards.
Experience with EHR systems and coding software (e.g., Epic, EncoderPro).
Excellent attention to detail, analytical skills, and communication abilities.

Additional Duties:

Provide provider training on coding rule changes and answer coding questions at monthly meetings.

Minimum Requirements:

Current CPC certification through AAPC or AHIMA, maintained in good standing.
Typically 2 years of medical coding experience.
Comprehensive knowledge of medical coding including insurance payer guidelines, ICD10, CPT billing, and E/M coding.
Ability to collaborate with Billing Manager to provide clinician education on coding guidelines.
Ability to analyze medical records in Electronic Health Record systems to identify documentation deficiencies and verify support for diagnoses, procedures, and treatments.

Preferred Background:

Experience with Federally Qualified Health Centers (FQHC).
Experience with Ochin Epic or Epic systems.
Strong collaboration skills across diverse backgrounds to support equitable and compassionate care.

Reasonable Accommodations: One Community Health supports ADA and FEHA accommodations for applicants or employees with disabilities.

Benefits: Details available at https://onecommunityhealth.com/careers/recruitment

We only employ US citizens and authorized non-US citizens in compliance with federal law.