Overview The FQHC Coder is responsible for the accurate and compliant assignment of ICD-10, CPT, and HCPCS codes based on provider documentation in alignment with CMS, HRSA, and payer guidelines. This role ensures coding supports timely billing, appropriate reimbursement, and accurate UDS and HEDIS reporting. The coder collaborates closely with providers, billing staff, and clinical teams to close care gaps, maintain compliance, and support value-based care initiatives. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other assignments, projects, and duties may be required. 1) Review provider documentation to assign appropriate ICD-10, CPT, and HCPCS codes in compliance with CMS, payer, and FQHC-specific coding guidelines. 2) Collaborate with the Medical Documentation Specialist and providers to clarify documentation when necessary to ensure coding accuracy. 3) Support accurate claims submission by reviewing coding elements and ensuring alignment with payer-specific requirements. 4) Ensure codes reflect the complexity and risk of care provided for proper reimbursement and risk adjustment. 5) Conduct internal audits and flag documentation or coding inconsistencies to the Coding Manager. 6) Participate in coding-related initiatives to improve the accuracy of care gap closure and quality measure capture (UDS, HEDIS, etc.). 7) Maintain up-to-date knowledge of coding regulations, payer updates, and industry standards. 8) Work with automated coding tools and AI-assisted platforms to validate coding outputs and ensure compliance. 9) Assist with coding education initiatives by sharing feedback and documentation trends with providers and team members. 10) Monitor and report on individual productivity and accuracy metrics as directed. 11) Ensures that there is a timely review of encounter coding for accuracy and compliance before the issuance of a third-party claim 12) Ensures HEDIS and UDS Core Measures are being implemented. 13) Converts data into usable information (identify the data necessary to establish the baseline and measure the change, data gathering, presentation, interpretation, and analysis, including descriptive and inferential statistical analysis). 14) Works with providers on practice improvement opportunities per HEDIS and UDS Core Measures. 15) Stay current on State and federal coding guidelines and regulations. 16) Validates diagnosis-to-procedure code linkage to ensure complete and billable encounters. 17) Applies appropriate modifiers based on clinical documentation and payer billing rules. 18) Participates in compliance audits and coding quality reviews, providing timely corrections. 19) Reviews coding edits and rejections in billing workflows and recommends resolutions. 20) Assists in developing and maintaining coding reference materials and internal job aids. 21) Performs other duties as assigned by the Coding Manager. To apply please email your resume to the reply link or fax to 855-832-3504, attention Human Resources. We are an equal opportunity employer and drug-free workplace.