Health Ministries Clinic, Inc.
Health Ministries Clinic (HMC)
is seeking a
Coding Auditor (with PCP auditing experience)
to join our integrated care team in Newton, Kansas. This full‑time, on‑site position supports patient care in a collaborative, mission‑driven environment.
About the Role The Coding Quality Auditor ensures HMC’s compliance with national coding guidelines, FQHC coding guidelines and regulations. The role minimizes coding errors, prevents fraudulent activities, and maintains accurate reimbursement and data integrity.
Core Responsibilities
Review designated claims for proper coding before submission, correct errors or discrepancies.
Assist Billing Specialists with coding‑related questions during billing processes.
Work on coding‑related denials and collaborate with providers to clarify documentation and improve coding accuracy.
Respond promptly to manager requests to code or review coded accounts for accuracy.
Provide assistance to the leadership team and management with coding of the accounts or answering questions related to coding and workflows.
Understand payor rules, medical policy guidelines and documentation requirements (commercial and government) that affect coding.
Ensure coding compliance with AMA, CMS guidelines, and state/federal regulations.
Meet coding productivity and quality standards.
Auditing Functions
Review provider medical records and audit to ensure accurate coding of diagnoses, procedures and services using ICD‑10, CPT and HCPCS codes.
Prepare detailed audit reports highlighting findings, trends and areas for improvement.
Present findings to management and relevant stakeholders.
Effectively interact and communicate findings with providers.
Communicate why a code is incorrect, what the correct code should be and why the new code is to be used.
Communicate what changes in documentation habits are needed to make accurate coding selection.
Ensure coding compliance with AMA, CMS guidelines, and state/federal regulations.
Participate in special reviews or projects, as assigned.
Education & Training Functions
Provide new hire training for onboarding providers.
Provide ongoing support and education to providers.
Provide education/training to Billing Specialists.
Participate and provide good coding feedback during meetings, education and trainings.
Takes initiative to assist others and share knowledge on official coding guidelines.
Knowledge, Skills & Abilities
Extensive knowledge of ICD‑10, CPT, and HCPCS coding systems.
Familiarity with healthcare regulations, including HIPAA, CMS guidelines, and payer‑specific requirements.
Understanding of medical terminology, anatomy, and physiology.
Maintain up‑to‑date knowledge of medical coding guidelines, regulatory changes and industry best practices; keep active coding certification.
Strong analytical and problem‑solving skills.
Excellent attention to detail and accuracy.
Effective communication and interpersonal skills, people‑oriented.
Effective time management.
Able to follow directions and work independently.
Proficiency with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel).
Requirements
High school diploma or equivalent GED required.
Active certification required in one or more of the following, preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Auditing Outpatient Coding (OAC).
Minimum of three (3) years of direct experience in coding/auditing applicable services, and medical chart review for all provider/claim types.
Benefits
Set schedule.
Medical, dental, and vision insurance.
Retirement plan with employer contributions.
Paid time off and holidays.
Competitive salary.
Supportive team environment with dedicated administrative and clinical staff.
About Health Ministries Clinic HMC is a mission‑focused Community Health Center committed to serving all patients—regardless of ability to pay. Our three main service lines include Medical, Behavioral Health, and Dental, with extensive ancillary and assistive services that allow our clinicians and staff to provide comprehensive care.
Apply Today Join a close‑knit, compassionate team delivering high‑quality care in a supportive environment.
Apply now and help shape a healthier future for our community.
#J-18808-Ljbffr
is seeking a
Coding Auditor (with PCP auditing experience)
to join our integrated care team in Newton, Kansas. This full‑time, on‑site position supports patient care in a collaborative, mission‑driven environment.
About the Role The Coding Quality Auditor ensures HMC’s compliance with national coding guidelines, FQHC coding guidelines and regulations. The role minimizes coding errors, prevents fraudulent activities, and maintains accurate reimbursement and data integrity.
Core Responsibilities
Review designated claims for proper coding before submission, correct errors or discrepancies.
Assist Billing Specialists with coding‑related questions during billing processes.
Work on coding‑related denials and collaborate with providers to clarify documentation and improve coding accuracy.
Respond promptly to manager requests to code or review coded accounts for accuracy.
Provide assistance to the leadership team and management with coding of the accounts or answering questions related to coding and workflows.
Understand payor rules, medical policy guidelines and documentation requirements (commercial and government) that affect coding.
Ensure coding compliance with AMA, CMS guidelines, and state/federal regulations.
Meet coding productivity and quality standards.
Auditing Functions
Review provider medical records and audit to ensure accurate coding of diagnoses, procedures and services using ICD‑10, CPT and HCPCS codes.
Prepare detailed audit reports highlighting findings, trends and areas for improvement.
Present findings to management and relevant stakeholders.
Effectively interact and communicate findings with providers.
Communicate why a code is incorrect, what the correct code should be and why the new code is to be used.
Communicate what changes in documentation habits are needed to make accurate coding selection.
Ensure coding compliance with AMA, CMS guidelines, and state/federal regulations.
Participate in special reviews or projects, as assigned.
Education & Training Functions
Provide new hire training for onboarding providers.
Provide ongoing support and education to providers.
Provide education/training to Billing Specialists.
Participate and provide good coding feedback during meetings, education and trainings.
Takes initiative to assist others and share knowledge on official coding guidelines.
Knowledge, Skills & Abilities
Extensive knowledge of ICD‑10, CPT, and HCPCS coding systems.
Familiarity with healthcare regulations, including HIPAA, CMS guidelines, and payer‑specific requirements.
Understanding of medical terminology, anatomy, and physiology.
Maintain up‑to‑date knowledge of medical coding guidelines, regulatory changes and industry best practices; keep active coding certification.
Strong analytical and problem‑solving skills.
Excellent attention to detail and accuracy.
Effective communication and interpersonal skills, people‑oriented.
Effective time management.
Able to follow directions and work independently.
Proficiency with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel).
Requirements
High school diploma or equivalent GED required.
Active certification required in one or more of the following, preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Auditing Outpatient Coding (OAC).
Minimum of three (3) years of direct experience in coding/auditing applicable services, and medical chart review for all provider/claim types.
Benefits
Set schedule.
Medical, dental, and vision insurance.
Retirement plan with employer contributions.
Paid time off and holidays.
Competitive salary.
Supportive team environment with dedicated administrative and clinical staff.
About Health Ministries Clinic HMC is a mission‑focused Community Health Center committed to serving all patients—regardless of ability to pay. Our three main service lines include Medical, Behavioral Health, and Dental, with extensive ancillary and assistive services that allow our clinicians and staff to provide comprehensive care.
Apply Today Join a close‑knit, compassionate team delivering high‑quality care in a supportive environment.
Apply now and help shape a healthier future for our community.
#J-18808-Ljbffr