The Revenue Cycle Coordinator is responsible for accurate coding, charge review, risk-adjustment support, and claims coordination within an FQHC environment. This role facilitates communication and workflows with the third-party billing company, ensures compliance with FQHC billing requirements, supports providers with documentation improvement, and participates in revenue cycle special projects.
Key responsibilities include performing coding reviews (CPT, HCPCS, ICD-10) ensuring compliance with payer and FQHC rules, capturing risk-adjusting diagnoses (HCC), conducting coding audits, collaborating with third-party billing companies to resolve claim denials, reviewing charge data accuracy, supporting month-end close activities, participating in workflow redesign and EHR optimization projects, providing coding and documentation guidance, conducting training sessions for providers and staff, and ensuring adherence to HRSA, UDS, Medicaid/Medicare, HIPAA, and other regulations.
- High school diploma required; associate degree in health information, billing, or related field preferred.
- Certified coder required (CPC, CCS, or equivalent).
- Experience or training in risk-adjustment coding; CRC certification preferred or willingness to obtain within 12 months.
- Minimum 2 years medical billing and coding experience; FQHC experience strongly preferred.
- Knowledge of CPT, HCPCS, ICD-10, PPS/GFQHC billing rules, Medicaid, Medicare, and commercial payer requirements.
- Strong communication skills, attention to detail, and ability to collaborate across teams.
- Proficiency with EHR and billing software systems.
Preferred:
- CRC certification for risk-adjustment coding.
- Experience coordinating with external billing vendors.
- Experience with NextGen and EPIC systems.
- Health Insurance and Rewards Program
- Dental and Vision Insurance
- Free Life & Short-Term Disability Insurance
- 403(b) Retirement Plan with employer match
- Comprehensive Paid Time Off (PTO)
- 10 Paid Holidays
Location
Cincinnati, Ohio, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago