Dental Coder

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Description

PRIMARY PURPOSE:

The Dental Coder is responsible for accurately coding dental procedures and diagnoses using CDT, ICD-10, and other applicable coding systems. This role ensures compliance with payer requirements, supports billing accuracy, and contributes to revenue integrity. The Dental Coder works closely with dental providers, billing staff, and compliance teams to resolve coding issues and optimize reimbursement.

ESSENTIAL JOB FUNCTIONS:

Review clinical documentation and assign appropriate CDT and ICD-10 codes for dental procedures and diagnoses.

Ensure coding aligns with payer guidelines, HRSA requirements, and internal policies.

Collaborate with dental providers to clarify documentation and ensure coding accuracy.

Audit dental claims for coding errors and assist in denial resolution.

Maintain current knowledge of coding regulations, payer updates, and dental coding best practices.

Support dental billing audits and treatment plan reviews.

Assist in training dental staff on documentation standards and coding compliance.

Work with Clara and other billing representatives to ensure timely and accurate claim submission.

Participate in revenue cycle improvement initiatives, including AI integration for coding accuracy.

Maintain confidentiality and adhere to HIPAA regulations.

Performs other duties as assigned.

Requirements

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Excellent verbal and written communication skills.
• Excellent attention to detail and analytical skills.
• Ability to act with integrity, professionalism, and confidentiality.
• Proficiency with Microsoft Office Suite and electronic health record systems.
• Strong knowledge of CDT, ICD-10, and payer-specific coding requirements.
• Knowledge of 2 CFR Part 200 and COSO Framework as applied to coding and billing.
• Ability to collaborate and communicate effectively with team members.
• Ability to work independently and manage multiple priorities.

PHYSICAL REQUIREMENTS:

• Ability to endure short, intermittent, and/or long periods of sitting and/or standing in performance of job duties.
• Ability to lift and carry objects weighing 15 pounds or less.
• Accomplish job duties using various types of equipment/supplies, e.g. pens, pencils, calculators, computer keyboard, telephone, etc.
• Ability to travel to other FoundCare locations and perform job duties.
• Ability to travel to other locations to attend meetings, workshops, and seminars, plus travel to other FoundCare departments and FoundCare conference rooms.

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent required; associate degree or higher preferred.
• Certified Dental Coder (CDC) or equivalent certification required.
• Familiarity with dental billing systems (e.g., Dentrix, Eaglesoft, Epic).
• Minimum of two (2) years of dental coding experience in a healthcare setting.

Salary Description

$60k - $65k