The HealthCare Connection
Billing & Coding Analyst
Reports to:
Chief Financial Officer .
Organization:
The HealthCare Connection (THCC) .
Location: Cincinnati, OH - Lincoln Heights.
About The HealthCare Connection Founded in 1967, THCC is Ohio’s first Federally Qualified Health Center (FQHC). Its mission is to provide quality, culturally sensitive and accessible primary healthcare services. THCC is recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of recognition attainable for quality care.
We have two primary care locations and six school‑based health centers serving over 20,000 patients. Services include Primary Care, Infectious Disease, Substance Use, Integrated Behavioral Health, Dental Services, Women’s Health, and Pharmacy.
Benefits
Health Insurance and Rewards Program
Dental, and Vision Insurance
Free Life & Short‑Term Disability Insurance
403(b) Retirement Plan with employer match
Comprehensive Paid Time Off (PTO)
10 Paid Holidays
Position Summary The Billing & Coding Analyst is responsible for accurate coding, charge review, risk‑adjustment support, and claims coordination within an FQHC environment. They facilitate communication and workflows with the third‑party billing company, ensure compliance with FQHC billing requirements, support providers with documentation improvement, and participate in revenue cycle special projects.
Key Responsibilities
Perform coding review of encounters to ensure accurate CPT, HCPCS, and ICD‑10 coding in compliance with payer and FQHC rules.
Ensure accurate capture of risk‑adjusting diagnoses (HCC) and communicate documentation needs to providers.
Conduct ongoing coding audits and maintain documentation of findings, trends, and corrective action steps.
Collaborate with the third‑party billing company to resolve coding‑related denials, edits, and claim rejections.
Assist in monitoring A/R trends, denial rates, and vendor performance metrics.
Review charge data for completeness, accuracy, and compliance prior to submission.
Support month‑end close activities including coding reconciliation and reporting.
Participate in special projects such as workflow redesign, EHR template optimization, payer audits, and regulatory updates.
Provide coding and documentation guidance to providers and clinical departments.
Develop and host coding and documentation training sessions for providers and clinical staff to improve coding accuracy, documentation quality, risk‑adjustment capture, and compliance.
Ensure adherence to HRSA, UDS, Medicaid/Medicare, HIPAA, and other regulatory requirements.
Qualifications
High school diploma required; associate degree in health information, billing, or related field preferred.
Certified coder required (CPC, CCS, or equivalent).
Experience or training in risk‑adjustment coding; CRC preferred or willingness to obtain within 12 months.
Minimum 2 years of medical billing and coding experience; FQHC experience strongly preferred.
Knowledge of CPT, HCPCS, ICD‑10, PPS/GFQHC billing rules, Medicaid, Medicare, and commercial payer requirements.
Strong communication skills, attention to detail, and ability to collaborate with clinical, administrative, and external teams.
Proficiency with EHR and billing software systems.
Preferred
Risk‑adjustment coding certification (CRC).
Experience coordinating with external billing vendors.
Experience with NextGen and EPIC.
Equal Employment Opportunity / Drug‑Free Workplace The HealthCare Connection is focused on creating a community that promotes dignity and respect for employees, patients, and community members. THCC is an Equal Opportunity Employer and a Drug‑Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, military status, or other characteristics protected by law and will not be discriminated against based on disability.
THCC will only employ those who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of a background check and a drug screen.
Other Details
Seniority level: Entry level
Employment type: Full-time
Job function: Accounting/Auditing and Finance
Industries: Medical Practices
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Chief Financial Officer .
Organization:
The HealthCare Connection (THCC) .
Location: Cincinnati, OH - Lincoln Heights.
About The HealthCare Connection Founded in 1967, THCC is Ohio’s first Federally Qualified Health Center (FQHC). Its mission is to provide quality, culturally sensitive and accessible primary healthcare services. THCC is recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of recognition attainable for quality care.
We have two primary care locations and six school‑based health centers serving over 20,000 patients. Services include Primary Care, Infectious Disease, Substance Use, Integrated Behavioral Health, Dental Services, Women’s Health, and Pharmacy.
Benefits
Health Insurance and Rewards Program
Dental, and Vision Insurance
Free Life & Short‑Term Disability Insurance
403(b) Retirement Plan with employer match
Comprehensive Paid Time Off (PTO)
10 Paid Holidays
Position Summary The Billing & Coding Analyst is responsible for accurate coding, charge review, risk‑adjustment support, and claims coordination within an FQHC environment. They facilitate communication and workflows with the third‑party billing company, ensure compliance with FQHC billing requirements, support providers with documentation improvement, and participate in revenue cycle special projects.
Key Responsibilities
Perform coding review of encounters to ensure accurate CPT, HCPCS, and ICD‑10 coding in compliance with payer and FQHC rules.
Ensure accurate capture of risk‑adjusting diagnoses (HCC) and communicate documentation needs to providers.
Conduct ongoing coding audits and maintain documentation of findings, trends, and corrective action steps.
Collaborate with the third‑party billing company to resolve coding‑related denials, edits, and claim rejections.
Assist in monitoring A/R trends, denial rates, and vendor performance metrics.
Review charge data for completeness, accuracy, and compliance prior to submission.
Support month‑end close activities including coding reconciliation and reporting.
Participate in special projects such as workflow redesign, EHR template optimization, payer audits, and regulatory updates.
Provide coding and documentation guidance to providers and clinical departments.
Develop and host coding and documentation training sessions for providers and clinical staff to improve coding accuracy, documentation quality, risk‑adjustment capture, and compliance.
Ensure adherence to HRSA, UDS, Medicaid/Medicare, HIPAA, and other regulatory requirements.
Qualifications
High school diploma required; associate degree in health information, billing, or related field preferred.
Certified coder required (CPC, CCS, or equivalent).
Experience or training in risk‑adjustment coding; CRC preferred or willingness to obtain within 12 months.
Minimum 2 years of medical billing and coding experience; FQHC experience strongly preferred.
Knowledge of CPT, HCPCS, ICD‑10, PPS/GFQHC billing rules, Medicaid, Medicare, and commercial payer requirements.
Strong communication skills, attention to detail, and ability to collaborate with clinical, administrative, and external teams.
Proficiency with EHR and billing software systems.
Preferred
Risk‑adjustment coding certification (CRC).
Experience coordinating with external billing vendors.
Experience with NextGen and EPIC.
Equal Employment Opportunity / Drug‑Free Workplace The HealthCare Connection is focused on creating a community that promotes dignity and respect for employees, patients, and community members. THCC is an Equal Opportunity Employer and a Drug‑Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, military status, or other characteristics protected by law and will not be discriminated against based on disability.
THCC will only employ those who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of a background check and a drug screen.
Other Details
Seniority level: Entry level
Employment type: Full-time
Job function: Accounting/Auditing and Finance
Industries: Medical Practices
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