Vista Community Clinic (VCC)
At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it's about hope, community, and impact. For over 50 years, we've been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it's needed most.
As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.
Benefits include: Competitive compensation & benefits Medical, dental, vision Company-paid life insurance Flexible spending accounts 403(b) retirement plan
Why VCC?
Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.
Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.
A robust training & development culture to help you grow and advance your career.
A workplace built on respect, collaboration and passion for care.
Responsibilities
- Perform PACE coding and auditing, working with clinicians on documentation and work flows as needed
- Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines
- Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines
- Validate and ensure the completeness, accuracy and integrity of coded data
- Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding
- Stay up to date with the latest coding guidelines, rules and regulations related to Risk Adjustment and HCC coding
- Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality
- Collaborate with healthcare providers, physicians and other team members to clarify documentation and resolve coding queries
- Participate in coding education and training programs to enhance coding skills and knowledge
- Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends
- Assist in internal and external coding audits to ensure the quality and compliance of coding practices
- Identify opportunities for process improvement and efficiency in the coding process
- Offer suggestions to enhance coding documentation and accuracy
- Review documentation of every Annual Health Assessment in the Medical Record and Medical Diagnosis Report (MDX) to ensure accurate codes and documentation are applied to the encounter for billing
- Utilize available encoder, software and other coding resources to determine the appropriate ICD-10-CM diagnosis codes mapped to HCCs
- All additional tasks assigned with respect to medical coding and assisting Revenue Cycle staff and Operations on coding questions, issues and updates that may arise
- Enhance professional growth and development through participation in educational programs, current literature review, in-service meetings and workshops
- Support the vision, mission and goals, and demonstrate a commitment to the values of the organization
- Perform other duties as directed
Qualifications
- High school graduate or equivalent
- AAPC Coding certification
- Minimum three years' medical billing experience
- Minimum two years' medical coding experience
Preferred Qualifications
- Two years' experience in an FQHC environment
- Experience with NextGen
- Experience in coding compliance program implementation
Required Skills/Knowledge/Abilities
- Knowledge of Medicare, Medi-Cal/Presumptive Eligibility, FPACT, Every Woman Counts, Tricare and Managed Care Payors
- Ability and willingness to be flexible with schedule and work hours
- Knowledge of payer coding policies and guidelines for FQHC's
- Familiar with medical terminology
- Experience/familiarity with computers and proficient in Microsoft Office products, specifically Word and Excel
- Familiarity with business e-mail, communication systems and internet search capabilities
- Ability to operate a 10-key calculator quickly and accurately
- Ability to perform a high volume of detailed work with speed and accuracy
- Ability to communicate initiatives, results and analyses, to multiple levels of management
- Excellent interpersonal skills with ability to create a comfortable, supportive learning environment
- Excellent public speaking skills, with the ability to engage others in the review of educational materials
- Ability and willingness to meet the organization's attendance and dress code policies
- Ability to handle confidential materials and information in a professional manner
- Excellent customer service skills and commitment to providing the highest level of customer satisfaction
- Excellent verbal and written skills necessary for communication with patients/clients, providers and other staff
- Ability to interface with all levels of personnel in a professional manner, including people of all social, cultural and ethnic backgrounds and within the constraints of government funded programs
Pay Rate: $26.00 - $34.00 DOE