[Remote] Medical Biller/ Coder (OB/GYN coder)

Remote, USA Full-time
Note: The job is a remote job and is open to candidates in USA. Diana Health is a network of modern women’s health practices focused on reimagining the maternity and women’s healthcare experience. They are seeking a skilled Medical Biller / Coder to join their Revenue Cycle team, responsible for ensuring accurate coding of medical procedures and diagnoses while supporting compliance and optimizing reimbursements. Responsibilities • Review clinical documentation and diagnostic results to ensure accurate CPT and ICD-10 coding • Validate medical necessity and ensure coding aligns with CMS and payer-specific guidelines • Process charge captures and review billing system edits to prevent claim denials • Collaborate with providers and billing teams to clarify documentation or coding inconsistencies • Identify coding trends, resolve payer denials, and provide recommendations for improvement • Assist with provider education on documentation and coding compliance • Maintain production standards and report daily coding productivity and quality metrics Skills • High School Diploma or GED required • Completion of a formal coding program (AHIMA, CCS, or AAPC preferred) • Minimum of 3 years' applied coding experience OR 5 years of OB/GYN coding experience in a physician billing or revenue cycle setting; Emphasize on OB/GYN coding! • Proficiency in ICD-10, CPT, medical terminology, anatomy, and health record content • In-depth knowledge of Medicare, Medicaid, and managed care plans (HMO, PPO, POS, Indemnity) • Understanding of HIPAA, Medicare Fraud and Abuse regulations, and EHR/Billing systems • Strong analytical and organizational skills with attention to detail • Proficiency in Microsoft Office (Word, Excel, Outlook) and healthcare billing platforms • Excellent verbal and written communication skills • Customer-focused approach and ability to work effectively with clinical staff and patients • Completion of a formal coding program (AHIMA, CCS, or AAPC preferred) • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred • Non-certified coders with strong experience may be required to obtain certification within an agreed timeframe Benefits • Competitive compensation • Medical, dental & vision plans, with an HSA/FSA option • 401(k) with employer match • Paid time off • Paid parental leave Company Overview • Diana Health offers personalized women's healthcare services in maternity, gynecology, menopause, mental health, and wellness. It was founded in 2019, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is Apply tot his job
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