Rural Health Clinic Coder

Elderberry Health•Ashland City, TN

11h

About The Position

The Medical Billing & Coding Specialist will review completed encounters and claims prior to submission to identify coding, billing, demographic, payer, and claim-form errors. The goal of this position is to make sure claims are clean and accurate before they are submitted, reducing denials, rework, and payment delays. The position is expected to require approximately 1–2 hours per day, with flexibility in scheduling based on clinic volume.

Requirements

Knowledge of CPT, HCPCS, ICD-10-CM, and medical billing guidelines
Familiarity with electronic claim submission and clearinghouses
Strong attention to detail
Ability to identify billing errors and independently research solutions
Ability to work independently with minimal supervision
Strong organizational and communication skills

Nice To Haves

2+ years of medical billing and/or coding experience
Experience with Rural Health Clinics (RHCs) strongly preferred
Experience with Medicare RHC billing preferred
Experience with TennCare/Medicaid and Medicare Advantage billing preferred
Experience with eClinicalWorks preferred

Responsibilities

Review completed encounters and claims for accuracy before submission
Verify that appropriate CPT, HCPCS, ICD-10-CM, and applicable modifiers are used
Review claims for common billing errors and missing information
Ensure claims are submitted using the appropriate billing methodology for Rural Health Clinic (RHC) services
Review payer-specific requirements and identify potential claim issues before submission
Assist with proper billing of Medicare, TennCare/Medicaid, Medicare Advantage, commercial insurance, and other payers
Identify claims that may require correction prior to submission
Review claim edits, rejections, and clearinghouse errors
Assist with correcting and resubmitting rejected claims when needed
Monitor recurring denial and rejection trends and communicate issues to clinic leadership
Work within eClinicalWorks (eCW) and applicable clearinghouse/payer portals
Maintain awareness of payer billing and coding requirements
Assist with periodic review of accounts receivable and outstanding claim issues as needed
Communicate with clinic staff regarding documentation or coding issues that could affect reimbursement