Certified Coder

Join Evara Health, a community-focused healthcare organization providing essential care through primary care, dental, behavioral health, pediatrics, and more.

This role focuses on medical coding, charge review, claims processing, provider collaboration, and quality assurance to support accurate reimbursement and compliance.

Key responsibilities include:

• Review and validate diagnosis and procedure codes for accuracy, compliance, and appropriate reimbursement.
• Audit patient encounters for completeness and coding accuracy before claims submission.
• Verify ICD, CPT, and HCPCS code assignments using coding guidelines and best practices.
• Review provider documentation and clinical records to ensure coding supports services rendered and quality measures.
• Post claims from the EHR and correct coding discrepancies as needed.
• Research, correct, and rebill rejected or unbilled charges to support timely reimbursement.
• Ensure authorizations, modifiers, units, and specialty billing requirements are coded correctly.
• Partner with providers, nurses, and health center staff to clarify documentation and coding questions.
• Request missing information needed to complete the billing process.
• Serve as a coding resource and provide guidance on coding standards and best practices.
• Monitor coding quality and report questionable coding practices or charge entries to leadership.
• Maintain current knowledge of coding regulations, payer requirements, and industry updates.
• Meet daily, weekly, and monthly productivity and accuracy standards.