FQHC Specialties- Medical Coder

13 hours ago

NCR, India Commure Full time

About the Role

We are hiring Medical Coders with experience in Federally Qualified Health Centres (FQHCs) to support accurate, compliant coding for multiple specialities. This role requires deep knowledge of FQHC billing rules and a commitment to accuracy in every encounter coded.

Key Responsibilities

  • Review medical records and assign correct CPT, HCPCS, and ICD-10 codes across FQHC specialities (Primary Care, Dental, Womens Health & OBGYN, Paediatrics, Behavioural Health, Senior Care, Diabetes Care, Podiatry).
  • Ensure coding accuracy in line with CMS, Medicare, Medicaid, and HRSA regulations.
  • Apply FQHC-specific billing rules, including encounter-based billing, PPS, and wrap-around payments.
  • Collaborate with providers and billing teams to reduce denials and ensure compliance.
  • Meet defined productivity and accuracy targets.

Requirements

  • 2+ years of medical coding experience, with direct exposure to FQHC coding.
  • Strong knowledge of CPT, HCPCS, and ICD-10.
  • Familiarity with EMR/EHR platforms used in FQHCs (e.g., NextGen, Epic, eClinicalWorks).
  • Certification preferred: CPC (AAPC), CCS (AHIMA), or equivalent.

Strong attention to detail and compliance-driven mindset.

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