Certified Professional Coder

Job Details: Salary Range: $31.25 - $40.00, Capital Area Health Network (CAHN) Richmond, VA — On‑Site Position Make a real impact with Capital Area Health Network (CAHN), a dynamic and growing Federally Qualified Health Center (FQHC) located in the heart of Richmond, VA. We’re expanding our team and seeking talented, mission‑driven professionals who want to elevate community health.

At CAHN, we innovate, we serve with purpose, and we are just better. Step into a role where your work creates lasting change. Our Core Values Compassion – We treat every person with dignity and fairness, ensuring no one feels alienated or discriminated against. Accountability – We safeguard confidentiality and remain transparent with all stakeholders.

Reverence – We are called to serve and uplift those in need while fostering mutual respect. Excellence – We commit to continuous learning to deliver culturally responsive, high‑quality care. Stewardship – We manage resources responsibly for the benefit of our organization and community. Who We Are CAHN provides comprehensive primary care, dental services, and behavioral health support, ensuring every person receives the quality care they deserve—regardless of background or circumstance.

Our Mission: To deliver effective, accessible, and culturally responsive care, education, and advocacy that promote health and quality of life. Discover a place where your work makes a difference. We are seeking a highly skilled and experienced Senior Certified Coder with expertise in Federally Qualified Health Center (FQHC) coding and billing practices.

The ideal candidate will hold a certification through either the AAPC (American Academy of Professional Coders) or RHIT (Registered Health Information Technician) and possess in-depth knowledge of FQHC coding standards, payer requirements, and federal healthcare regulations. As a Senior Certified Coder, you will be responsible for accurately coding a variety of services provided within the FQHC environment, ensuring compliance with all applicable regulations, and collaborating with multidisciplinary teams to support optimal revenue cycle management.

Key Responsibilities

Perform detailed coding of outpatient visits, including but not limited to primary care, behavioral health, dental, and preventive services, in accordance with FQHC guidelines. Ensure proper coding and billing for Medicare, Medicaid, and commercial insurance payers, adhering to federal, state, and payer-specific regulations.

Review clinical documentation to verify accuracy and ensure appropriate coding is used. Serve as a coding resource for team members, providing mentorship and training as needed. Review and resolve coding discrepancies, audits, and billing issues promptly. Collaborate with clinical and administrative staff to ensure accurate and timely claims submission.

Participate in internal and external audits, assisting in chart reviews and responses to coding-related queries. Maintain up-to-date knowledge of coding updates, payer policies, and FQHC-specific regulations. Assist in the development and implementation of coding policies, procedures, and educational resources. Support the improvement of revenue cycle processes and workflows to maximize reimbursement and minimize errors.

Required Certifications: AAPC (CPC, CPC-H, or CPC-P) or RHIT (Registered Health Information Technician) certification. Experience: Minimum of 5 years of professional coding experience, with at least 3 years in an FQHC setting. Extensive experience with ICD-10-CM, CPT, HCPCS Level II, and Medicare/Medicaid coding guidelines.

Strong understanding of FQHC-specific reimbursement models, including PPS (Prospective Payment System), RHC (Rural Health Clinics), and billing procedures. Proficient in using electronic health record (EHR) systems, coding software, and practice management systems. Knowledge of compliance regulations related to FQHCs and the healthcare industry.

Strong attention to detail, analytical skills, and the ability to manage complex coding issues. Health Coverage Medical, Dental, and Vision Insurance Secondary Gap Insurance Prescription Drug Plan Supplemental Policies through Colonial Life Financial Security 401(k) Retirement Plan with up to 3% Company Match Employer‑Sponsored Short‑Term Disability Employer‑Paid Life and AD&D Insurance Work‑Life Balance Paid Time Off (PTO) accrued beginning Day 1 Self‑Care Floating Holidays 9.

5 Paid Holidays Additional Support Employee Assistance Program (EAP) Public Service Loan Forgiveness (PSLF) eligibility We are committed to supporting your well‑being—at work and beyond.

Qualifications

Qualifications

Required Certifications: AAPC (CPC, CPC-H, or CPC-P) or RHIT (Registered Health Information Technician) certification. Experience: Minimum of 5 years of professional coding experience, with at least 3 years in an FQHC setting. Extensive experience with ICD-10-CM, CPT, HCPCS Level II, and Medicare/Medicaid coding guidelines.

Strong understanding of FQHC-specific reimbursement models, including PPS (Prospective Payment System), RHC (Rural Health Clinics), and billing procedures. Proficient in using electronic health record (EHR) systems, coding software, and practice management systems. Knowledge of compliance regulations related to FQHCs and the healthcare industry.

Strong attention to detail, analytical skills, and the ability to manage complex coding issues.

Preferred Skills

Experience with EHR systems such as EPIC, Athena Health, or Centricity. Strong communication skills with the ability to work collaboratively across departments. Ability to mentor and train junior coders and provide guidance on coding best practices. Additional Requirements: Ability to maintain confidentiality and adhere to HIPAA regulations.

Strong organizational skills and the ability to prioritize tasks in a fast-paced environment. Demonstrated commitment to continuous learning and professional development in coding and healthcare regulations.