Accounting Software, Accounts Receivable, Auditing, Billing, Billing Records, C Programming Language, Credit and Collections, Current Procedural Terminology (CPT), Detail Oriented, Disciplinary Action, Documentation, Electronic Medical Records, Finance, Financial Regulations, HIPAA (Health Insurance Portability and Accountability Act), Head of Finance, Health Insurance, Health Maintenance, Healthcare Administration, Healthcare Common Procedure Coding System (HCPCS), ICD-10, Identify Issues, Industry Standards, Insurance Claims, Insurance Regulations, Leadership, Maintain Compliance, Medicaid, Medical Billing, Medical Coding, Medical Terminology, Medicare, Microsoft Office, Military, Organizational Skills, Patient Confidentiality, Payment Posting, People Management, Performance Analysis, Performance Reviews, Problem Solving Skills, Procedure Implementation, Process Improvement, Reconciliation, Regulations, Regulatory Compliance, Revenue Growth, Revenue Management, Risk, Risk Analysis, Strategic Planning, Third-Party Payer, Time Management, Trend Analysis, Willing to Travel
Department: Finance
Reporting Manager: CFO
Position Status: Non - Exempt
FLSA Level: Varies
Revised: 06/16/2026
Position Summary: Oversees an organization''s medical billing and coding department. They oversee that clean claims are sent out in a timely manner and denials are corrected. They provide effective leadership to the billing staff, reconcile accounts, enforce compliance with financial regulations, health care regulations and insurance guidelines. This position also helps develop strategies to optimize revenue and claim submissions.
Supervisory Responsibilities:
- Oversees medical billers and coders
- Timecards
- PTO usage
- Training
- Hiring
- Disciplinary actions
- Performance evaluations
Essential Functions/Responsibilities of the Position:
- Performs overall revenue cycle management including accurate and timely submission of claims to insurance carriers, ensuring proper coding and documentation to avoid denials, maximizing billing revenue and collections, posting payments is timely, and resolution of denied/rejected claims.
- Research and maintain billing compliance and regulations, primarily for FQHC Medicare and Medicaid.
- Performs regular audits of billing reports to identify coding and billing errors, track collections, improve processes and identify trends.
- Track''s the organization''s A/R and work towards keeping days in AR low and improving net collection rates to maintain healthy revenue cycle.
- Collaberate with billing staff and other staff to address problems and troubleshoot as needed.
- Develop and enforce billing policies and procedures to ensure adherence to industry standards and regulations.
- Participate in meetings and communicate with management and stakeholders to provide updates on billing operations, Challenges and achievements.
- Train, allocate work, and resolve problems among billing office personnel, in addition to providing motivation.
- Maintain confidentiality of patient records and sensitive billing information ensuring compliance with HIPAA regulations.
- Work closely with EMR and EDR vendors.
- Work closely with CFO and CMO on appropriate coding/billing
- Other related duties as assigned.
Position Qualifications:
EDUCATION:
- Associate or Bachelor''s degree in medical billing/coding, healthcare administration, or finance.
EXPERIENCE (Years & Certifications):
- Minimum of 3-5 years of experience in medical billing preferably at a FQHC
- Prior supervisory or management experience preferred
- Solid understanding of medical terminology, ICD-10, CPT, CDT, and HCPCS coding systems
- Experience with Athena and Dentrix a plus
- Knowledge of revenue cycle, collections and payment posting, medical billing, Medicaid and Medicare billing, and third-party payers.
- Experience with managing and resolving complex billing issues
SKILLS:
- Must be reliable and extremely trustworthy.
- Must be proficient in Microsoft Office Suite or related programs.
- Must be able to learn other accounting software systems.
- Excellent organizational skills and attention to detail.
- Ability to maintain confidential and meticulous records.
Position Requirements and Working Conditions:
Physical Activities
Frequency
(N)Never - 0%, (O)Occasionally - 50% or (C)Constantly - 100%
Ascending or descending stairs and the like.
O
Remaining in a stationary position, often standing or sitting for prolonged periods.
C
Moving about to accomplish tasks.
O
Communicating with others to exchange information.
C
Repeating motions that may include the wrists, hands and/or fingers.
C
Travel to meet with various stakeholders
N
Assess risk, detect risk factors for site safety purposes through being aware of surrounding environment, individuals, noises, observations, etc.
O
Environmental Conditions
Frequency
(N)Never - 0%, (O)Occasionally - 50% or (C)Constantly - 100%
Low temperatures.
N
High temperatures.
N
Outdoor elements such as precipitation and wind.
N
Noisy environments.
N
Hazardous conditions.
N
Poor ventilation.
N
Small and/or enclosed spaces.
N
Adverse environmental conditions expected.
N
Physical Demands
Frequency
(N)Never - 0%, (O)Occasionally - 50% or (C)Constantly - 100%
Sedentary work that primarily involves sitting/standing.
C
Light work that includes moving objects up to 20 pounds.
O
Medium work that includes moving objects up to 50 pounds.
O
Heavy work that includes moving objects up to 100 pounds or more.
N
EEO Statement
The Chautauqua Center is an Equal Opportunity Employer and considers all candidates for employment regardless of race, color, national origin, religion, sex, age, disability, citizenship, pregnancy, military status, marital status, sexual orientation, or any other characteristics protected by law.