JCHCC dba Inclusivcare

Coding Compliance Specialist Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. None Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups. Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future denials. Review Athena coding rejections and...

GENERAL SUMMARY OF DUTIES: Provides patient account and reimbursement services for all units of the agency that requires third party and other billing related functions (with the exception of grants and contracts). SUPERVISION EXERCISED : None ESSENTIAL FUNCTIONS: Ensures accounts receivables (AR) records are maintained in a confidential manner and in accordance with standard accounting procedures. Maintains appropriate internal controls over accounts receivables. Ensures security of cash payments on accounts. Monitors accounts sent for collections and reimbursements from insurance companies and other third party payers. Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations. Monitors and provides updates on the dental billing trends. Responsible for reviewing and distributing correspondence relative to the denial of insurance payment Communicate effectively with patients and insurance...

GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. SUPERVISION EXERCISED: None ESSENTIAL FUNCTIONS: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups. Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future...