The Billing and Coding Coordinator supports accurate and compliant medical billing and coding activities for Empower “U”, Inc., a nonprofit Federally Qualified Health Center (FQHC). This role ensures financial sustainability and compliance with HRSA, CMS, state, and payer-specific requirements by properly documenting, coding, and submitting services according to guidelines.
The Coordinator collaborates with clinical, administrative, finance teams, and external billing partners, focusing on upfront coding accuracy, clean claim submission, and documentation integrity across Medicaid, Medicare, managed care, commercial, and self-pay accounts. Utilizes Epic EHR workflows and supports audits, site visits, and reimbursement accuracy. Denial management and appeals are handled by the contracted billing entity.
Key duties include coordinating billing and coding operations using Epic EHR, assigning ICD-10-CM, CPT, and HCPCS codes following guidelines, ensuring compliance with regulations, submitting clean claims, liaising with billing contractor to support denial resolution, collaborating with clinical leadership on documentation supporting billed services, supporting audits, identifying process improvements, assisting staff education, and maintaining confidentiality.
Qualifications include an Associate’s degree or equivalent in Health Information Management, Health Administration, Medical Billing and Coding, or related field. Active professional coding certification required (CPC, CCS; RHIA preferred). Minimum 3–5 years medical billing and coding experience, preferably in an FQHC or community health setting. Experience with Epic EHR billing/coding functionality and knowledge of Medicaid, Medicare, managed care, and commercial billing practices.
Work environment may be office-based or hybrid. Position requires prolonged computer use, strong communication, organizational, and problem-solving skills, high accuracy and attention to detail, ability to manage multiple priorities, and commitment to ethical billing practices and the FQHC mission.
Employees must pass Level I and II background checks.
- Associate’s degree or equivalent in Health Information Management, Health Administration, Medical Billing and Coding, or related field
- Active professional coding certification such as CPC, CCS; RHIA preferred
- 3 to 5 years of medical billing and coding experience, preferably in FQHC, nonprofit, or community health
- Experience with Epic EHR billing and coding functionality
- Working knowledge of Medicaid, Medicare, managed care, and commercial insurance billing
- Strong analytical, organizational, and problem-solving skills
- High accuracy and attention to detail
- Effective communication skills
- Ability to work independently and collaboratively
- Must pass Level I and II background checks
- Supportive organizational mission focused on patient-centered care
- Opportunity to work in a nonprofit Federally Qualified Health Center
- Potential for hybrid work environment
- Collaborative and ethical work culture
Location
Miami, Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago