National Association of Community Health Centers (NACHC) logo
National Association of Community Health Centers (NACHC)

A unified voice and source for research, information, training and advocacy for Community Health Centers.

Medical Biller/Coder, OB/GYN

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteSeniorTeam 51-200Since 1971H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

14 days ago

Salary

Not specified

Seniority

Senior

High School5 yrs expExperience acceptedEnglish

Job Description

• 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.

Job Requirements

  • 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.
  • 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.
  • 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.

Benefits

  • Competitive compensation
  • Medical, dental & vision plans, with an HSA/FSA option
  • 401(k) with employer match
  • Paid time off
  • Paid parental leave

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