Who We Are
Snowline Health is a non-profit organization serving the western slope of El Dorado County and the Greater Sacramento Region. For over 40 years, we’ve provided compassionate, high-quality care tailored to the unique needs of patients and families. Guided by core values of teamwork, service, contribution, and excellence, the organization is committed to delivering exceptional care and supporting the communities it serves.
Role Overview
The Certified Coder and Billing Compliance Specialist is responsible for reviewing and coding medical records to ensure accurate, compliant billing in accordance with Medicare, Medicaid, and private insurance requirements. The role evaluates clinical documentation, assigns ICD-10, CPT, HCPCS, E/M, CCM, and TCM codes, identifies missed or incorrect charges, and resolves coding and claim discrepancies prior to submission.
The position works closely with providers and the billing team to support documentation integrity, denial prevention and resolution, audit readiness, and regulatory compliance, while providing education and reporting to strengthen revenue integrity. This work helps ensure timely reimbursement and supports the financial sustainability of Snowline Health’s mission-driven care programs.
Required Qualifications
- Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist – Physician based (CCS-P) from AHIMA
- Proficiency in medical coding systems, including CPT, ICD-10, and HCPCS
- Minimum 2 years of experience in medical records coding and clinic or multi-specialty billing compliance
- Familiarity with Electronic Medical Record (EMR) systems and billing platforms
- Strong written and verbal communication skills for collaboration with providers, billing staff, and management
- Knowledge of CMS regulations, conditions of participation, and OIG audit trends related to Hospice, Palliative Care, and In Home Based Primary Care reimbursement models
- Strong understanding of medical terminology, anatomy, physiology, and pharmacology
- Excellent attention to detail, analytical skills, and organizational skills
- Ethical judgment and ability to maintain patient confidentiality in accordance with HIPAA
- Ability to work independently and as part of a team
Preferred Qualifications
- CPMA certification
- CPB certification
Benefits and Wellness
- Comprehensive medical, dental, and vision insurance
- Life insurance
- 401(k) with employer match
- Generous paid time off, vacation, and sick leave
- Continuing education and training opportunities, including tuition reimbursement for relevant courses
- Hybrid work environment with regular onsite presence required
- Employee Assistance Program offering confidential counseling and support
- Team-centered, mission-driven culture
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$55,000 - $75,000
Remote work allowed
No
Posted
2 weeks ago