• Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. • Follows ICD, CPT, CMS, and other regulatory coding guidelines. • Abstracts clinical information from medical records for complete and accurate statistical documentation. • Reviews and interprets medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes. • Abstracts information into computer for reimbursement and statistical purposes. • Researches and stays current with trends in healthcare coding and compliance. • Keeps department manager up to date with any coding or documentation issues. • Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals. • Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement. • Responsible for assisting with coding claim edits and reviewing claim denials for correction. • Reports to work in a timely manner and adheres to attendance policies. • Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. • Performs all Other duties as assigned.

• Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. • Follows ICD, CPT, CMS, and other regulatory coding guidelines. • Abstracts clinical information from medical records for complete and accurate statistical documentation. • Reviews and interprets facility inpatient and outpatient medical documentation to accurately assign ICD and CPT codes for reimbursement and statistical purposes. • Abstracts information into computer for reimbursement and statistical purposes. • Researches and stay current with trends in healthcare coding and compliance. • Keeps department manager up to date with any coding or documentation issues. • Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement. • Reports to work in a timely manner and adheres to attendance policies. • Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. • Other duties may include: a. Review of Daily Medical Necessity Report b. Assisting Coding Manager with supervision of Clinical Affiliations. • Performs all other duties as assigned.

Role Description The Revenue Cycle Assistant primarily supports the Revenue Cycle Manager in key billing, reconciliation, and grant reporting processes. This role plays an essential part in the monthly close process and collaborates with clinical, training, and grant teams to ensure accurate and efficient billing operations. The Specialist also provides direct support to front desk staff across 15 health centers by assisting with workflow improvements, policy updates, and system issue resolution to ensure smooth day-to-day operations. The ideal candidate brings strong attention to detail, excellent critical thinking skills, and a collaborative mindset to improve financial performance and support organizational goals. Essential Functions - Support the month-end patient billing reconciliation process: - Reconcile missing visits from the Revenue Guardian report and missing services from billing encounters. - Serve as first point of contact with grant facilitators. - Generate and reconcile monthly invoices for Grant programs (Breast and Cervical Cancer Screening Program & Women’s Cancer Screening Program); manage accounts receivable. - Review and validate reference lab (Quest) invoices for correct billing. - Manage CT Medicaid Family Planning Limited Benefit program enrollment and status. - Maintain and update Good Faith Estimate (GFE) templates and documentation. - Conduct sample chart reviews for grant compliance and reporting. - Assist with insurance billing and issue resolution in collaboration with the Revenue Cycle Manager. - Navigate and document accurately in the Epic Electronic Health Record (EHR). - Work assigned billing and insurance work queues in Epic. - Serve as a Subject Matter Expert (SME) for insurance registration and eligibility; troubleshoot RTE and eligibility issues. - Review patient refund reports for accuracy. - Support front desk staff with billing workflows, policies, tipsheets, and troubleshooting; collaborate with training team on workflow updates and improvements. - Maintain thorough knowledge and understanding of PPSNE organization to answer questions and direct calls correctly and appropriately. - Other duties as assigned. - Completes all responsibilities according to established protocols, policies, and standard practices in the areas of customer service, quality assurance and regulatory compliance programs such as HIPAA, OSHA, and CLIA. - Demonstrates flexibility and teamwork; understands the interaction between this position and others with whom the position works directly and indirectly. - Ensures that interactions incorporate PPSNE values of integrity, partnership, customer focus, communication, and quality. - Supports the agency’s mission and all the reproductive health services offered including family planning services, women’s health screenings, testing and treatment of STIs, birth control methods and abortion services. - Supports efforts of the agency’s diversity program to provide services that are culturally and linguistically competent; takes the initiative to develop own awareness and knowledge of diversity matters. - Works well with volunteers and interns to achieve the agency’s mission. May supervise interns and volunteers. Qualifications - High School or associate degree or equivalent work experience preferred. - Experience in a PPSNE health center preferred. - Experience working with electronic health records, specifically Epic, preferred. - Bilingual fluency (Spanish/English) preferred but not required. - Proficiency in Microsoft Office (Word, Excel, PowerPoint) required. - Strong analytical and problem-solving skills. - Excellent written and oral communication skills. - Proficient in Microsoft Excel and general computer systems. - Experience working with electronic medical records, preferably Epic. - Demonstrated customer service skills with the ability to support both internal and external clients; ability to provide quality services to meet the individual needs of patients. - Strong organizational skills with the ability to prioritize tasks and meet deadlines. - Superb attention to detail and discretion with confidential information. - Ability to work both independently and as part of a collaborative team to meet the needs of health center customers. - Strong supporters of PPSNE mission and all the reproductive health services offered. - 2–5 years of experience in: - Revenue cycle operations (billing, coding, collections, denials). - Healthcare finance or hospital/clinic operations. - Data analysis and reporting. - Collaboration skills (working with finance, clinical and Clinical Health Network). - Understanding of: - Medical billing and coding. - Insurance reimbursement (Medicare, Medicaid, commercial). - Claims processing and denial management. - Attention to detail and compliance knowledge (e.g., HIPAA). Requirements - $16.10 - $26.84 an hour. - This position’s hourly pay range is Min $16.10, Mid $21.47, Max $26.84 and is determined based on full years of experience. - Due to our commitment to pay equity, PPSNE does not negotiate salaries. Benefits - Health, dental and vision insurance. - Paid parental leave. - Retirement savings. - Tuition reimbursement. - Generous paid time off. - Flexible spending account. - Wellness program. - And more. Company Description PPSNE is committed to equal opportunity in all areas of its operations, including patient care and employment. Employment decisions are based on merit, qualifications, and business needs. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, national origin, age, disability, marital status, genetics, veteran status, or any other protected category. Discrimination and retaliation are strictly prohibited.

Role Description This position is in the Health Information Management Section at the VA Northern California Health Care System. Certified Coders classify medical data from patient health records. Seeking candidates with robust inpatient coding experience for a complex, multi-specialty Acute Care Hospital. Expertise in ICU coding, psychiatric inpatient admissions, complex surgical procedures using ICD10-PCS and DRG assignment is required. Experience in high volume, tertiary, or academic hospitals is preferred. Responsibilities - Select and assign codes from current versions of ICD CM, PCS, and/or CPT and HCPCS classification systems for inpatient facility and/or professional services. - Comprehensive review of inpatient documentation within the health record to assign ICD codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures using ICD-PCS for accurate assignment of diagnosis-related groups (DRG), and/or assigning CPT/HCPCS codes for inpatient professional services. - Independently review and abstract clinical data from the inpatient record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. - Code all complicated and complex medical/specialty disease processes, patient injuries, and all medical procedures in a wide range of inpatient settings and specialties. - Consult directly with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record. - Abstract, assign, and sequence codes into the encoder software to obtain correct DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered. - Query clinical staff with documentation requirements to support the coding process. - Enter and correct information that has been rejected; correct any identified data errors or inconsistencies. - Maintain a 95% coding accuracy on quality audits. Ensure audit findings have been corrected and refiled. - Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record. - Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. - Adheres to accepted coding practices, guidelines, and conventions when choosing the most appropriate diagnosis, operation, procedure, or ancillary code. - Use various required computer applications to abstract records, assign codes, and record and transmit data. Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. - An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. Requirements - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification, Mastery Level Certification, or Clinical Documentation Improvement Certification through AHIMA or AAPC. - Grandfathering Provision: All persons employed in VHA as a MRT (Coder) on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series, and grade held. - Grade Determinations: Medical Records Technician (Coder-Inpatient), GS-8 requires one year of creditable experience equivalent to the next lower grade level. - Demonstrated Knowledge, Skills, and Abilities: Ability to analyze the health record, accurately perform inpatient coding, and interpret health information guidelines. Benefits - Work Schedule: Monday - Friday, 8:00am - 4:30pm PST - Telework: Not Available - Virtual: This position is Remote 100% - Relocation/Recruitment Incentives: Not Authorized - Permanent Change of Station (PCS): Not Authorized