Medical Coder

Role overview

Community Health Center of Snohomish County is seeking a Medical Coder to manage the daily coding and billing workflow for services billed through grants as well as federal, state, and county-funded programs, including Medicare, Medicaid managed care, and private insurance plans.

Compensation and benefits

The organization offers a competitive pay structure along with a benefits package that supports health coverage, time away from work, retirement, and long-term growth. Benefits include medical, dental, and vision insurance; up to 120 hours of vacation annually, prorated by FTE; paid sick leave; 10 paid holidays; a 403(b) Safe Harbor retirement plan with employer matching; disability and life insurance; and additional offerings. Employees who can pass a second-language proficiency test receive an extra $0.75 per hour.

Core duties

• Review clinical documentation and complete coding and billing tasks promptly.
• Maintain provider visit procedure codes and supporting notes to ensure the correct ICD-10 and CPT codes are used for charge entry.
• Apply diagnosis, procedure, and HCPCS codes accurately, ethically, and in the correct sequence to support reimbursement.
• Assign Evaluation and Management codes using the documented key elements and established professional and technical coding rules.
• Investigate routine, complex, new, or unusual diagnoses and procedures when they are not clearly covered by standard ICD-10 or CPT guidance.
• Identify procedures that require modifiers, including 340B-related modifiers, for billing and reporting purposes.
• Work with providers to clarify unclear, conflicting, or incomplete clinical documentation.
• Monitor cases with missing or insufficient documentation and ensure they are coded and billed appropriately.
• Follow federal, state, and county billing requirements and policies.
• Maintain attendance standards so daily operations and continuity of patient care are not interrupted.

Required knowledge and abilities

• Strong command of written and spoken English.
• Clear oral and written communication skills.
• Professional representation of the organization in community settings.
• Ability to stay composed and effective under pressure or during emergencies.
• Comfort working proactively in a fast-moving environment.
• Capacity to produce a high volume of accurate work.
• Creative and practical problem-solving ability.
• Working knowledge of medical terminology.
• Understanding of HIPAA requirements and compliance practices.
• Judgment for handling sensitive information appropriately.
• Thorough knowledge of medical coding standards and procedures.
• Proficiency with Microsoft Word, Excel, and Outlook.

Preferred qualifications

Bilingual ability is preferred. Additional preferred experience includes familiarity with Federally Qualified Health Centers, nonprofit organizations, low-income and multi-ethnic populations, and the NextGen platform.

Education and credentials

A high school diploma or equivalent is required. Applicants should also hold either a Certified Professional Coder (CPC) credential from AAPC or a Coding Specialist (CCS) credential from AHIMA.

Experience

At least 2 years of healthcare experience as a production coder is required.

Employment notes

This is a full-time, onsite position based in Everett, WA. Community Health Center of Snohomish County is an Equal Employment Opportunity and Affirmative Action employer and operates on an at-will employment basis.