Job Title: Coding Specialist-New Jersey Ave.
Location: Washington, DC
Organization: Unity Health Care
Employment Type: Full-Time
About Unity Health Care
Unity Health Care is a mission-driven, federally qualified health center committed to providing high-quality, compassionate, and comprehensive health care services to underserved communities throughout Washington, DC. Our team is dedicated to improving health outcomes through accessible, patient-centered care while supporting excellence in clinical operations and revenue cycle management.
Position Summary
Under the supervision of the Medical Billing Coding Manager, the Coding Specialist plays a critical role in ensuring accurate medical coding, charge capture, and reimbursement for healthcare services. This position reviews medical documentation, assigns appropriate diagnosis and procedure codes, supports compliance with federal and payer regulations, and helps maintain the integrity of the organization's electronic medical record and billing systems.
Key Responsibilities
- Review medical records to ensure complete documentation, including patient identification, provider signatures, dates, and required clinical information.
- Assign accurate ICD-10-CM, CPT, HCPCS Level II, and modifier codes based on provider documentation.
- Register, analyze, and process claims within the electronic medical record (EMR) system, including insurance verification and charge entry.
- Monitor outstanding claims and generate routine claims reports for assigned departments and facilities.
- Review Medicare Local Coverage Determinations (LCDs), coding updates, and reimbursement guidelines.
- Ensure compliance with Medicare, Medicaid, FQHC, and third-party payer billing requirements.
- Support coding audits and implement coding corrections as needed.
- Assist with coding orientation and education for new providers.
- Maintain confidentiality of patient information and financial records.
- Collaborate with providers and revenue cycle staff to resolve coding and documentation issues.
- Perform additional duties and special projects as assigned.
Minimum Qualifications
- High school diploma or GED required; Associate's degree preferred.
- Minimum of five (5) years of professional medical coding experience.
- Current coding certification through AAPC or AHIMA is required.
- Extensive knowledge of ICD-10-CM, CPT, HCPCS Level II, and medical coding guidelines.
- Experience working with electronic medical record (EMR) and practice management (PM) systems.
- Strong understanding of Medicare, Medicaid, FQHC, and commercial payer billing requirements.
- Excellent analytical, organizational, communication, and problem-solving skills.
- Proficiency in Microsoft Office applications, including Excel and Word.
- Ability to work independently while managing multiple priorities in a fast-paced healthcare environment.
Why Join Unity?
- Join a mission-driven organization dedicated to improving the health of underserved communities throughout Washington, DC.
- Be part of a collaborative team that supports high-quality patient care through accurate coding and revenue cycle excellence.
- Work in a dynamic healthcare environment with opportunities for professional growth and continuing education.
- Help ensure regulatory compliance and optimize reimbursement while supporting the organization's mission.
- Build your career with an organization committed to innovation, teamwork, and exceptional patient-centered care.