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Posted Apr 17, 2026

[Hiring] Coding and Billing Specialist @firsthand Health

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This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Coding & Billing Specialist is a critical, full-time, salaried position within firsthand’s clinical documentation team. This role is a foundational hire, offering the opportunity to define key processes and program elements for comprehensive and accurate coding of clinical services. Key Responsibilities • Coding & Auditing: • Perform day-to-day encounter coding for services, procedures, diagnoses, and treatments. • Verify that all assigned codes (ICD, CPT, and HCPC) are compatible, appropriate, and accurate for billing. • Audit clinical notes for supporting documentation and code to the highest specificity. • Use medical terminology to confirm clinical documentation supports the reported diagnoses. • Conduct coding corrections. • Claims & Revenue Cycle Management: • Prepare and submit claims for payment. • Correct and resubmit rejected claims. • Maintain Accounts Receivable (A/R) for revenue cycle management. • Expertise & Process Improvement: • Serve as the subject matter expert on firsthand's billing systems, including the Electronic Health Record (EHR) and Clearinghouses. • Advise on and implement ongoing process improvements related to coding and billing. • Develop and update procedures manuals to ensure correct coding standards and minimize fraud/abuse risk (e.g., revising the master CPT list). • Education & Support: • Educate firsthand Advanced Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements. • Provide technical guidance to clinical staff in resolving coding issues, such as incomplete or ambiguous documentation. Qualifications • 4+ years of experience as a medical billing and coding specialist, leveraging an EHR system. • A High School diploma or equivalent. • Required Medical Coder Certification: • Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA. • Nice-to-have: • Certified Risk Adjustment Coder (CRC) from AAPC. Requirements • Strong knowledge of ICD-10-CM and CPT coding guidelines. • Proficiency in medical terminology, with the ability to read and interpret medical procedures and documentation. • Expertise in state and federal Medicare reimbursement guidelines. • Ability to quickly gain proficiency in firsthand’s specific EHR, Clearinghouse, and other billing software. • Strong multi-tasking skills and consistent attention to detail. • Excellent written and verbal communication skills for maintaining collaborative relationships with APNs, NPs, the Clinical Documentation Integrity Specialist, and other team members. • Support firsthand’s mission, vision, and values by demonstrating respect, dignity, empathy, and professional conduct. Benefits • Base salary range: $55,000 - $55,000 USD. • Compensation package includes base, equity (or a special incentive program for clinical roles), and performance bonus potential. • Benefits include physical and mental health, dental, vision, 401(k) with a match. • 16 weeks parental leave for either parent. • 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond). • A supportive and inclusive culture.
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