• Reviews and audits previous-day charges, ensuring all encounter details, visit notes, and procedural documentation are accurate and complete.
• Verifies compliance with payer-specific guidelines and correcting discrepancies before submission.
• Investigates missing or incorrect charges, following up with providers and clinic staff to resolve issues in a timely manner.
• Ensures insurance details, authorizations, and patient demographics are accurate to prevent claim denials.

• Works closely with coding and billing teams to identify and correct charge entry errors, missing documentation, and incomplete provider notes.
• Follows up with physicians, nurse practitioners, and clinical staff to ensure all billed services are properly documented and supported.
• Reviews hospital-based encounters to confirm inpatient, observation, and procedural charges are captured and submitted accurately.
• Investigates billing trends and missing charges, proactively addressing common documentation issues.

• Communicates with coding teams to ensure proper modifier use, diagnosis coding, and compliance with payer policies.
• Assists revenue cycle teams in resolving billing rejections and denials related to charge capture and documentation issues.
• Maintains accurate charge tracking and reconciliation reports to support billing and revenue cycle improvements.

• Works directly with providers and clinic staff to educate on documentation best practices for accurate charge submission.
• Assists with authorizations for procedures and diagnostic testing, ensuring necessary approvals are obtained.
• Screens upcoming appointments for scheduling errors, incorrect insurance details, and incomplete demographic information to minimize billing issues.
• Occasionally assists with scheduling, pre-screening, and other clinic duties as needed to ensure smooth daily operations.

• This position is primarily remote, with the expectation of working in-office once or twice per week.
• On-site duties include attending team meetings, addressing provider concerns in real time, and supporting clinic staff as needed.
• Must be able to transition seamlessly between remote auditing tasks and in-office collaboration.

Pay & Benefits:

• Compensation: $21.07  to $30.34 hourly wage based on experience and education
• Additional Pay: Shift Differential, Annual Increases, Paid Time Off
• Benefits: medical, vision, dental, 401k with employer match
• Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness
• Other Benefits: Onsite Gym, Wellness Programs, Discount programs, The Learning Center (childcare services)
• Schedule:
  Full-time, 40 hours per week, 5x8 hour day shifts, Monday through Friday

About Fairbanks Memorial Hospital
Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior with a strong patient-to-nurse ratio and Shared Leadership Infrastructure. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.

1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

2. Researches and assigns codes for non-standard procedures, supplies, equipment or materials.

3. Researches missing and incompatible records information supplied by medical staff, transcriptionists, suppliers and others. Assures that all appropriate items, procedures and services are recorded and appropriately billed. Acquires medical record completion as required by national coding standards.

4. Audits daily error reports in the coding/billing system and makes corrections. Matches, corrects and codes charges that do not drop to billing.

5. Identifies opportunities for improvement in clinical documentation. Provides guidance and education for staff in billing procedures and electronic medical records usage procedures for coding and billing requirements. Maintains a current knowledge of procedural terminology requirements and provides staff with updated information on reimbursement charges and documentation requirements. As assigned, develops and provides education for physicians and staff.

6. Works with company finance and Charge Description Master (CDM) teams to develop and maintain coding and billing database information and with other point of service charging/coding staff to maintain consistency in practice.

7. Works as a member of the unit, practice or clinic team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support. 

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Some assignments may require advanced training in CPT/ICD coding standards and the continued ability to pass tests on coding requirements. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist

(CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.