Billing Coder – FQHC PPS Specialist [Mansfield, OH]
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Job Location:
Mansfield, OH - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
What Were Looking For
Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact Were looking for a driven and detail-oriented professional to join our team as a Billing Coder FQHC / PPS Specialist. In this role youll play a vital part in ensuring financial stability compliance and continued mission impact helping us move forward with purpose and precision. The ideal candidate values continuous learning leads with a welcoming spirit takes ownership of their work and is passionate about supporting people and building stronger communities.
We are seeking a highly experienced Billing Coder with deep FQHC expertise for our billing teamparticularly in Prospective Payment System (PPS) and Medicare FQHC billing.
Essential Job Duties:
- Serve as a subject-matter expert for PPS and FQHC billing workflows
- Ensure accurate compliant coding and claim submission
- Support denial resolution rebilling and staff education
- Act as a technical resource to the Billing Manager and billing team
- Accurately bill FQHC encounters under the Prospective Payment System (PPS)
- Apply correct Medicare FQHC G-codes (G0466G0470) and Revenue Code 0521
- Maintain compliance with HRSA FQHC certification standards including sliding fee scale and encounter documentation requirements
- Serve as a go-to resource for complex billing questions
What We Offer
Attending to your needs today:
- Your ideas input and contributions are valued and recognized.
- Excellent clinical administrative and management support.
- Forward-thinking collaborative transparent and inclusive company culture.
- Employee Assistance Program.
- Competitive Medical Dental and Vision plans.
- Competitive Market Value Compensation.
- Generous Paid Time Off.
- Tuition assistance.
Protecting your future:
- Medical dental and vision insurance
- 403(b) retirement plan with match
- Employer-paid life insurance
- Employer-paid long-term disability
Third Street is an equal opportunity employer. Our goal is to be a diverse workforce that is representative at all job levels of the communities and patients we serve. We do not discriminate on the basis of race color religion marital status age national origin ancestry physical or mental disability medical condition pregnancy genetic information gender sexual orientation gender identity or expression veteran status or any other status protected under federal state or local law. If you require reasonable accommodation in completing this application please direct your inquiries to or call ext. 2201
Qualifications:
- High school diploma or GED required
- Demonstrated experience billing for an FQHC (required)
- Strong working knowledge of:
- Prospective Payment System (PPS)
- Medicare FQHC G-codes (G0466G0470)
- Revenue Code 0521
- HRSA compliance requirements for FQHC billing
- Experience with claim research appeals and payer follow-up
- Proficiency with EHR and billing systems preferably Epic.
About Us:
Third Street is a patient-centered medical home driving change in the community. We adapt to the needs of those we serve while building services to fill gaps in care to invest in a healthier future for all. At Third Street we provide high-quality care through the continual learning of our employees and by building a diverse team. We value our employees communicate our expectations and train our team on best practices.
Organizational Information:
- Established in 1994 Third Street Family Health Services is a regional not-for-profit community health center providing medical dental OB/GYN pediatric community outreach and behavioral health services across eleven locations in Richland Marion Ashland and Crawford counties. Our mission is to deliver comprehensive health and wellness care accessible to all in the communities we serve. We believe that the health status of our community can be improved by providing accessible and affordable health care advocacy and community health initiatives.
- We provide patient-centered care and provide our services with respect integrity and accountability top of mind. For more information visit or find them on Facebook or Twitter.
Mission:
To deliver comprehensive health and wellness care accessible to all in the communities we serve.
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
